2024 ICD-10-CM Diagnosis Code T56.892S

Toxic effect of other metals, intentional self-harm, sequela

ICD-10-CM Code:
T56.892S
ICD-10 Code for:
Toxic effect of other metals, intentional self-harm, sequela
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Toxic effects of substances chiefly nonmedicinal as to source
      (T51-T65)
      • Toxic effect of metals
        (T56)

T56.892S is a billable diagnosis code used to specify a medical diagnosis of toxic effect of other metals, intentional self-harm, sequela. 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.

T56.892S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like toxic effect of other metals intentional self-harm. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Intentional lithium and/or lithium compound overdose
  • Intentional lithium poisoning
  • Lithium and/or lithium compound overdose
  • Lithium poisoning

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Mental and substance use disorders; sequelaMBD034Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Poisoning/toxic effect/adverse effects/underdosing, sequelaINJ075N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • gamma-Aminobutyric Acid

    the most common inhibitory neurotransmitter in the central nervous system.
  • Lithium

    an element in the alkali metals family. it has the atomic symbol li, atomic number 3, and atomic weight [6.938; 6.997]. salts of lithium are used in treating bipolar disorder.
  • Lithium Carbonate

    a lithium salt, classified as a mood-stabilizing agent. lithium ion alters the metabolism of biogenic monoamines in the central nervous system, and affects multiple neurotransmission systems.
  • Lithium Chloride

    a salt of lithium that has been used experimentally as an immunomodulator.
  • Lithium Compounds

    inorganic compounds that contain lithium as an integral part of the molecule.
  • Niacin

    a water-soluble vitamin of the b complex occurring in various animal and plant tissues. it is required by the body for the formation of coenzymes nad and nadp. it has pellagra-curative, vasodilating, and antilipemic properties.
  • Tellurium

    an element that is a member of the chalcogen family. it has the atomic symbol te, atomic number 52, and atomic weight 127.60. it has been used as a coloring agent and in the manufacture of electrical equipment. exposure may cause nausea, vomiting, and cns depression.
  • Nitrogenase

    an enzyme system that catalyzes the fixing of nitrogen in soil bacteria and blue-green algae (cyanobacteria). ec 1.18.6.1.
  • Vanadium

    a metallic element with the atomic symbol v, atomic number 23, and atomic weight 50.94. it is used in the manufacture of vanadium steel. prolonged exposure can lead to chronic intoxication caused by absorption usually via the lungs.
  • Vanadium Compounds

    inorganic compounds that contain vanadium as an integral part of the molecule.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Toxic effect of metals (T56). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Replaced Code

This code was replaced in the 2024 ICD-10-CM code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2023. This code was replaced for the FY 2024 (October 1, 2023 - September 30, 2024).


  • T56.822S - Toxic effect of gadolinium, intentional self-harm, sequela

Present on Admission (POA)

T56.892S 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 IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T56.892S to ICD-9-CM

  • ICD-9-CM Code: 909.1 - Late eff nonmed substanc
    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 T56.892 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
Antimony (compounds) (vapor) NECT56.891T56.892T56.893T56.894  
Antimony (compounds) (vapor) NEC
  »anti-infectives
T56.891T56.892T56.893T56.894  
Antimony (compounds) (vapor) NEC
  »dimercaptosuccinate
T56.891T56.892T56.893T56.894  
Antimony (compounds) (vapor) NEC
  »hydride
T56.891T56.892T56.893T56.894  
Antimony (compounds) (vapor) NEC
  »pesticide (vapor)
T56.891T56.892T56.893T56.894  
Antimony (compounds) (vapor) NEC
  »potassium (sodium) tartrate
T56.891T56.892T56.893T56.894  
Antimony (compounds) (vapor) NEC
  »sodium dimercaptosuccinate
T56.891T56.892T56.893T56.894  
Antimony (compounds) (vapor) NEC
  »tartrated
T56.891T56.892T56.893T56.894  
Brass (fumes)T56.891T56.892T56.893T56.894  
Cobalt (nonmedicinal) (fumes) (industrial)T56.891T56.892T56.893T56.894  
Cobalt (nonmedicinal) (fumes) (industrial)
  »medicinal (trace) (chloride)
T56.891T56.892T56.893T56.894  
Golden sulfide of antimonyT56.891T56.892T56.893T56.894  
LithiumT56.891T56.892T56.893T56.894  
Lithium
  »gluconate
T56.891T56.892T56.893T56.894  
Lithium
  »salts (carbonate)
T56.891T56.892T56.893T56.894  
Magnesium NECT56.891T56.892T56.893T56.894  
Magnesium NEC
  »carbonate
T56.891T56.892T56.893T56.894  
Magnesium NEC
  »citrate
T56.891T56.892T56.893T56.894  
Magnesium NEC
  »hydroxide
T56.891T56.892T56.893T56.894  
Magnesium NEC
  »oxide
T56.891T56.892T56.893T56.894  
Magnesium NEC
  »peroxide
T56.891T56.892T56.893T56.894  
Magnesium NEC
  »salicylate
T56.891T56.892T56.893T56.894  
Magnesium NEC
  »silicofluoride
T56.891T56.892T56.893T56.894  
Magnesium NEC
  »sulfate
T56.891T56.892T56.893T56.894  
Magnesium NEC
  »thiosulfate
T56.891T56.892T56.893T56.894  
Magnesium NEC
  »trisilicate
T56.891T56.892T56.893T56.894  
Nickel (carbonyl) (tetra-carbonyl) (fumes) (vapor)T56.891T56.892T56.893T56.894  
NickeloceneT56.891T56.892T56.893T56.894  
Selenium NECT56.891T56.892T56.893T56.894  
Selenium NEC
  »disulfide or sulfide
T56.891T56.892T56.893T56.894  
Selenium NEC
  »fumes
T56.891T56.892T56.893T56.894  
Selenium NEC
  »sulfide
T56.891T56.892T56.893T56.894  
StibineT56.891T56.892T56.893T56.894  
TelluriumT56.891T56.892T56.893T56.894  
Tellurium
  »fumes
T56.891T56.892T56.893T56.894  
Titanium (compounds) (vapor)T56.891T56.892T56.893T56.894  
Titanium (compounds) (vapor)
  »dioxide
T56.891T56.892T56.893T56.894  
Titanium (compounds) (vapor)
  »ointment
T56.891T56.892T56.893T56.894  
Titanium (compounds) (vapor)
  »oxide
T56.891T56.892T56.893T56.894  
Titanium (compounds) (vapor)
  »tetrachloride
T56.891T56.892T56.893T56.894  
TitanoceneT56.891T56.892T56.893T56.894  
VanadiumT56.891T56.892T56.893T56.894  

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.