2024 ICD-10-CM Diagnosis Code T58.01XA

Toxic effect of carbon monoxide from motor vehicle exhaust, accidental (unintentional), initial encounter

ICD-10-CM Code:
T58.01XA
ICD-10 Code for:
Toxic effect of carb monx from mtr veh exhaust, acc, init
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 carbon monoxide
        (T58)

T58.01XA is a billable diagnosis code used to specify a medical diagnosis of toxic effect of carbon monoxide from motor vehicle exhaust, accidental (unintentional), initial 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.

T58.01XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like toxic effect of carbon monoxide from motor vehicle exhaust accidental (unintentional). According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Approximate Synonyms

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

  • Accidental poisoning by exhaust gas from gas engine
  • Accidental poisoning by exhaust gas from motor pump
  • Accidental poisoning by exhaust gas from stationary farm tractor
  • Accidental poisoning by exhaust gas from stationary motor vehicle
  • Accidental poisoning by motor vehicle exhaust gas
  • Carbon monoxide poisoning from motor vehicle exhaust
  • Noncollision motor vehicle traffic accident involving accidental poisoning from exhaust gas generated by motor vehicle while in motion
  • Noncollision motor vehicle traffic accident involving accidental poisoning from exhaust gas generated by motor vehicle while in motion, driver of motor vehicle injured
  • Noncollision motor vehicle traffic accident involving accidental poisoning from exhaust gas generated by motor vehicle while in motion, motor cyclist injured
  • Noncollision motor vehicle traffic accident involving accidental poisoning from exhaust gas generated by motor vehicle while in motion, occupant of tram injured
  • Noncollision motor vehicle traffic accident involving accidental poisoning from exhaust gas generated by motor vehicle while in motion, passenger of motor vehicle injured
  • Noncollision motor vehicle traffic accident involving accidental poisoning from exhaust gas generated by motor vehicle while in motion, passenger on motor cycle injured
  • Noncollision motor vehicle traffic accident involving accidental poisoning from exhaust gas generated by motor vehicle while in motion, pedal cyclist injured
  • Noncollision motor vehicle traffic accident involving accidental poisoning from exhaust gas generated by motor vehicle while in motion, pedestrian injured
  • Noncollision motor vehicle traffic accident involving accidental poisoning from exhaust gas generated by motor vehicle while in motion, rider of animal or occupant of animal-drawn vehicle injured
  • Poisoning by carbon monoxide from aircraft while in transit, without accident to aircraft
  • Poisoning by carbon monoxide from aircraft while in transit, without accident to aircraft
  • Poisoning by carbon monoxide from aircraft while in transit, without accident to aircraft
  • Poisoning by carbon monoxide from aircraft while in transit, without accident to aircraft
  • Poisoning by carbon monoxide from aircraft while in transit, without accident to aircraft, member of crew of commercial aircraft in surface to surface transport injured
  • Poisoning by carbon monoxide from aircraft while in transit, without accident to aircraft, occupant of commercial aircraft in surface to air transport injured
  • Poisoning by carbon monoxide from aircraft while in transit, without accident to aircraft, occupant of military aircraft injured
  • Poisoning by carbon monoxide from aircraft while in transit, without accident to aircraft, parachutist injured
  • Poisoning by exhaust gas in aircraft
  • Poisoning by exhaust gases on board watercraft

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: intent of injury, accidental/unintentionalEXT020N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
External cause codes: poisoning by non-drugEXT015N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Toxic effects, initial encounterINJ023Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Toxic effect of carbon monoxide (T58). Use the following options for the aplicable episode of care:

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

Convert T58.01XA to ICD-9-CM

  • ICD-9-CM Code: 986 - Tox eff carbon monoxide
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
  • ICD-9-CM Code: E868.2 - Acc poison-exhaust gas
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.

Table of Drugs and Chemicals

The parent code T58.01 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
Exhaust gas (engine) (motor vehicle)T58.01T58.02T58.03T58.04  
Motor exhaust gasT58.01T58.02T58.03T58.04  

Patient Education


Carbon Monoxide Poisoning

Carbon monoxide (CO) is a gas that has no odor or color. But it is very dangerous. It can cause sudden illness and death. CO is found in combustion fumes, such as those made by cars and trucks, lanterns, stoves, gas ranges and heating systems. CO from these fumes can build up in places that don't have a good flow of fresh air. You can be poisoned by breathing them in. The most common symptoms of CO poisoning are:

  • Headache
  • Dizziness
  • Weakness
  • Nausea
  • Vomiting
  • Chest pain
  • Confusion

It is often hard to tell if someone has CO poisoning, because the symptoms may be like those of other illnesses. People who are sleeping or intoxicated can die from CO poisoning before they have symptoms. A CO detector can warn you if you have high levels of CO in your home.

Centers for Disease Control and Prevention


[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.