2024 ICD-10-CM Diagnosis Code T44.0X1D
Poisoning by anticholinesterase agents, accidental (unintentional), subsequent encounter
- ICD-10-CM Code:
- T44.0X1D
- ICD-10 Code for:
- Poisoning by anticholin agents, accidental, subs
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
- Code Information
- Approximate Synonyms
- Clinical Classification
- Clinical Information
- Coding Guidelines
- Tabular List of Diseases and Injuries
- Diagnostic Related Groups Mapping
- Present on Admission (POA)
- Convert to ICD-9 Code
- Table of Drugs and Chemicals
- Patient Education
- Other Codes Used Similar Conditions
- Code History
T44.0X1D is a billable diagnosis code used to specify a medical diagnosis of poisoning by anticholinesterase agents, accidental (unintentional), subsequent encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
T44.0X1D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like poisoning by anticholinesterase agents accidental (unintentional). According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Accidental anticholinesterase overdose
- Accidental poisoning by anticholinesterase
- Accidental poisoning by cholinergic
- Accidental poisoning by cholinergic
- Anticholinesterase overdose
- Poisoning by anticholinesterase
- Poisoning by organophosphorus anticholinesterase
- Poisoning by reversible anticholinesterase
Clinical Classification
Clinical Category is Poisoning by drugs, subsequent encounter
- CCSR Category Code: INJ059
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Edrophonium
a rapid-onset, short-acting cholinesterase inhibitor used in cardiac arrhythmias and in the diagnosis of myasthenia gravis. it has also been used as an antidote to curare principles.Galantamine
a benzazepine derived from norbelladine. it is found in galanthus and other amaryllidaceae. it is a cholinesterase inhibitor that has been used to reverse the muscular effects of gallamine triethiodide and tubocurarine and has been studied as a treatment for alzheimer disease and other central nervous system disorders.Isoflurophate
a di-isopropyl-fluorophosphate which is an irreversible cholinesterase inhibitor used to investigate the nervous system.Pyridostigmine Bromide
a cholinesterase inhibitor with a slightly longer duration of action than neostigmine. it is used in the treatment of myasthenia gravis and to reverse the actions of muscle relaxants.Tacrine
a cholinesterase inhibitor that crosses the blood-brain barrier. tacrine has been used to counter the effects of muscle relaxants, as a respiratory stimulant, and in the treatment of alzheimer's disease and other central nervous system disorders.
Coding Guidelines
When coding a poisoning or reaction to the improper use of a medication (e.g., overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories T36-T50. The poisoning codes have an associated intent as their 5th or 6th character (accidental, intentional self-harm, assault and undetermined. If the intent of the poisoning is unknown or unspecified, code the intent as accidental intent. The undetermined intent is only for use if the documentation in the record specifies that the intent cannot be determined. Use additional code(s) for all manifestations of poisonings.
The appropriate 7th character is to be added to each code from block Poisoning by, adverse effect of and underdosing of drugs primarily affecting the autonomic nervous system (T44). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Present on Admission (POA)
T44.0X1D is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
POA Indicator | Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert T44.0X1D to ICD-9-CM
- ICD-9-CM Code: V58.89 - Other specfied aftercare
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
Table of Drugs and Chemicals
The parent code T44.0X1 of the current diagnosis code is referenced 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.
According to ICD-10-CM coding guidelines it is advised to do not code directly from the Table of Drugs and Chemicals, instead always refer back to the Tabular List when doing the initial coding. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. It is important to use as many codes as necessary to specify all reported drugs, medicinal or chemical substances. If the same diagnosis code describes the causative agent for more than one adverse reaction, poisoning, toxic effect or underdosing, utilize the code only once.
Substance | Poisoning Accidental (unintentional) |
Poisoning Accidental (self-harm) |
Poisoning Assault |
Poisoning Undetermined |
Adverse effect |
Underdosing |
---|---|---|---|---|---|---|
Ambenonium (chloride) | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Anticholinesterase | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Anticholinesterase »organophosphorus | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Anticholinesterase »organophosphorus »insecticide | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Anticholinesterase »organophosphorus »nerve gas | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Anticholinesterase »reversible | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Anticholinesterase »reversible »ophthalmological | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
DFP | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Diflos | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Difluorophate | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Diisopropylfluorophos-phonate | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Distigmine (bromide) | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Dyflos | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Edrophonium | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Edrophonium »chloride | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Galantamine | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Isoflurophate | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Neostigmine bromide | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Prostigmin | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Pyridostigmine bromide | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Tacrine | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Tetrahydroaminoacridine | T44.0X1 | T44.0X2 | T44.0X3 | T44.0X4 | T44.0X5 | T44.0X6 |
Patient Education
Medication Errors
Medicines treat infectious diseases, prevent problems from chronic diseases, and ease pain. But medicines can also cause harmful reactions if not used correctly. Errors can happen in the hospital, at the health care provider's office, at the pharmacy, or at home. You can help prevent errors by:
- Knowing your medicines. When you get a prescription, ask the name of the medicine and check to make sure that the pharmacy gave you the right medicine. Make sure that you understand how often you should take the medicine and how long you should take it.
- Keeping a list of medicines.
- Write down all of the medicines that you are taking, including the names of your medicines, how much you take, and when you take them. Make sure to include any over-the-counter medicines, vitamins, supplements, and herbs that you take.
- List the medicines that you are allergic to or that have caused you problems in the past.
- Take this list with you every time you see a health care provider.
- Reading medicine labels and following the directions. Don't just rely on your memory - read the medication label every time. Be especially careful when giving medicines to children.
- Asking questions. If you don't know the answers to these questions, ask your health care provider or pharmacist:
- Why am I taking this medicine?
- What are the common side effects?
- What should I do if I have side effects?
- When should I stop this medicine?
- Can I take this medicine with the other medicines and supplements on my list?
- Do I need to avoid certain foods or alcohol while taking this medicine?
Food and Drug Administration
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.