2024 ICD-10-CM Diagnosis Code T45.4X1
Poisoning by iron and its compounds, accidental (unintentional)
- ICD-10-CM Code:
- T45.4X1
- ICD-10 Code for:
- Poisoning by iron and its compounds, accidental
- Is Billable?
- Not Valid for Submission
- Code Navigator:
T45.4X1 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of poisoning by iron and its compounds, accidental (unintentional). The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding Applicable to Poisoning by iron and its compounds, accidental
Non-specific codes like T45.4X1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for poisoning by iron and its compounds, accidental:
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Accidental ferric iron compound poisoning
- Accidental ferrous sulfate overdose
- Accidental ferrous sulfate poisoning
- Accidental poisoning by iron compounds
- Ferrous sulfate overdose
- Hypopituitarism due to iron overload
- Iron and/or iron compound overdose
- Iron dextran toxicity
- Poisoning by ferrous salt
- Poisoning by ferrous sulfate
- Poisoning by iron
- Poisoning caused by ferric iron compound
- Poisoning caused by iron and/or iron compound
- Toxic effect of iron compound
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 primarily systemic and hematological agents, not elsewhere classified (T45). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Poisoning by iron and its compounds NOS
Table of Drugs and Chemicals
The 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 |
---|---|---|---|---|---|---|
Dextriferron | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferric [See Also: Iron] | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferric [See Also: Iron] »chloride | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferric [See Also: Iron] »citrate | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferric [See Also: Iron] »hydroxide | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferric [See Also: Iron] »hydroxide »colloidal | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferric [See Also: Iron] »hydroxide »polymaltose | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferric [See Also: Iron] »pyrophosphate | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferritin | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferrocholinate | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferrodextrane | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferropolimaler | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferrous [See Also: Iron] | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferrous [See Also: Iron] »phosphate | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferrous [See Also: Iron] »salt | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferrous [See Also: Iron] »salt »with folic acid | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Ferrous fumerate, gluconate, lactate, salt NEC, sulfate (medicinal) | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Iron (compounds) (medicinal) NEC | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Iron (compounds) (medicinal) NEC »ammonium | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Iron (compounds) (medicinal) NEC »dextran injection | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Iron (compounds) (medicinal) NEC »nonmedicinal | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Iron (compounds) (medicinal) NEC »salts | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Iron (compounds) (medicinal) NEC »sorbitex | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Iron (compounds) (medicinal) NEC »sorbitol citric acid complex | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Isomaltose, ferric complex | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Jectofer | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Polyferose | T45.4X1 | T45.4X2 | T45.4X3 | T45.4X4 | T45.4X5 | T45.4X6 |
Patient Education
Iron
Iron is a mineral that our bodies need for many functions. For example, iron is part of hemoglobin, a protein which carries oxygen from our lungs throughout our bodies. It helps our muscles store and use oxygen. Iron is also part of many other proteins and enzymes.
Your body needs the right amount of iron. If you have too little iron, you may develop iron deficiency anemia. Causes of low iron levels include blood loss, poor diet, or an inability to absorb enough iron from foods. People at higher risk of having too little iron are young children and women who are pregnant or have periods.
Too much iron can damage your body. Taking too many iron supplements can cause iron poisoning. Some people have an inherited disease called hemochromatosis. It causes too much iron to build up in the body.
Centers for Disease Control and Prevention
[Learn More in MedlinePlus]
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.