ICD-10 Diagnosis Code T40.4X2

Poisoning by oth synthetic narcotics, intentional self-harm

Diagnosis Code T40.4X2

ICD-10: T40.4X2
Short Description: Poisoning by oth synthetic narcotics, intentional self-harm
Long Description: Poisoning by other synthetic narcotics, intentional self-harm
This is the 2018 version of the ICD-10-CM diagnosis code T40.4X2

Not Valid for Submission
The code T40.4X2 is a "header" and not valid for submission for HIPAA-covered transactions.

Code Classification
  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances (T36-T50)
      • Narcotics and psychodysleptics (T40)

Information for Medical Professionals

Synonyms
  • Acetaminophen and dextropropoxyphene poisoning
  • Acetaminophen overdose
  • Alfentanil overdose
  • Alfentanil poisoning
  • Buprenorphine overdose
  • Buprenorphine poisoning
  • Dextromoramide overdose
  • Dextromoramide poisoning
  • Dextropropoxyphene overdose
  • Dextropropoxyphene overdose
  • Dextropropoxyphene poisoning
  • Dextropropoxyphene poisoning
  • Dipipanone overdose
  • Dipipanone poisoning
  • Fentanyl overdose
  • Fentanyl poisoning
  • Intentional acetaminophen and dextropropoxyphene poisoning
  • Intentional alfentanil overdose
  • Intentional alfentanil poisoning
  • Intentional buprenorphine overdose
  • Intentional buprenorphine poisoning
  • Intentional dextromoramide overdose
  • Intentional dextromoramide poisoning
  • Intentional dextropropoxyphene overdose
  • Intentional dextropropoxyphene overdose
  • Intentional dextropropoxyphene poisoning
  • Intentional dextropropoxyphene poisoning
  • Intentional dipipanone overdose
  • Intentional dipipanone poisoning
  • Intentional fentanyl overdose
  • Intentional fentanyl poisoning
  • Intentional levorphanol overdose
  • Intentional levorphanol poisoning
  • Intentional nalbuphine overdose
  • Intentional nalbuphine poisoning
  • Intentional paracetamol and dextropropoxyphene overdose
  • Intentional paracetamol overdose
  • Intentional paracetamol poisoning
  • Intentional pentazocine overdose
  • Intentional pentazocine poisoning
  • Intentional pethidine overdose
  • Intentional pethidine poisoning
  • Intentional phenazocine overdose
  • Intentional phenazocine poisoning
  • Intentional phenoperidine overdose
  • Intentional phenoperidine poisoning
  • Levorphanol overdose
  • Levorphanol poisoning
  • Morphinan opioid overdose
  • Morphinan opioid overdose
  • Morphinan opioid poisoning
  • Morphinan opioid poisoning
  • Nalbuphine overdose
  • Nalbuphine poisoning
  • Paracetamol and dextropropoxyphene overdose
  • Pentazocine overdose
  • Pethidine overdose
  • Phenazocine overdose
  • Phenazocine poisoning
  • Phenoperidine overdose
  • Phenoperidine poisoning
  • Poisoning caused by acetaminophen
  • Poisoning caused by meperidine
  • Poisoning caused by pentazocine

Table of Drugs and Chemicals

The code T40.4X2 is included in the Table of Drugs and Chemicals, this table contains a classification of drugs, industrial solvents, corrosive gases, noxious plants, pesticides, and other toxic agents. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. Use as many codes as necessary to describe all reported drugs, medicinal or chemical substances.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
self-harm
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
AlfentanilT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
AlphaprodineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
AnileridineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
BezitramideT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
BuprenorphineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
ButorphanolT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
DextromoramideT40.4X1T40.4X2T40.4X3T40.4X4
Dextromoramide
  »topical
T40.4X1T40.4X2T40.4X3T40.4X4
DextropropoxypheneT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
DipipanoneT40.4X1T40.4X2T40.4X3T40.4X4
EptazocineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
EthoheptazineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
FentanylT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
IsonipecaineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
KetobemidoneT40.4X1T40.4X2T40.4X3T40.4X4
LevopropoxypheneT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
LevorphanolT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
MeperidineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
NalbuphineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
PentazocineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
PethidineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
PhenazocineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
PhenoperidineT40.4X1T40.4X2T40.4X3T40.4X4
PiritramideT40.4X1T40.4X2T40.4X3T40.4X4
ProfadolT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
PropoxypheneT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
SufentanilT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
TilidineT40.4X1T40.4X2T40.4X3T40.4X4
TramadolT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6

Information for Patients


Poisoning

A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include

  • Prescription or over-the-counter medicines taken in doses that are too high
  • Overdoses of illegal drugs
  • Carbon monoxide from gas appliances
  • Household products, such as laundry powder or furniture polish
  • Pesticides
  • Indoor or outdoor plants
  • Metals such as lead and mercury

The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.

  • Poisoning (Medical Encyclopedia)
  • Poisoning first aid (Medical Encyclopedia)
  • Toxicology screen (Medical Encyclopedia)


[Read More]

Self-harm

Self-harm refers to a person's harming their own body on purpose. About 1 in 100 people hurts himself or herself in this way. More females hurt themselves than males. A person who self-harms usually does not mean to kill himself or herself. But they are at higher risk of attempting suicide if they do not get help.

Self-harm tends to begin in teen or early adult years. Some people may engage in self-harm a few times and then stop. Others engage in it more often and have trouble stopping.

Examples of self-harm include

  • Cutting yourself (such as using a razor blade, knife, or other sharp object to cut the skin)
  • Punching yourself or punching things (like a wall)
  • Burning yourself with cigarettes, matches, or candles
  • Pulling out your hair
  • Poking objects through body openings
  • Breaking your bones or bruising yourself

Many people cut themselves because it gives them a sense of relief. Some people use cutting as a means to cope with a problem. Some teens say that when they hurt themselves, they are trying to stop feeling lonely, angry, or hopeless.

It is possible to overcome the urge to hurt yourself. There are other ways to find relief and cope with your emotions. Counseling may help.

Dept. of Health and Human Services, Office on Women's Health

  • Trichotillomania (Medical Encyclopedia)


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