2024 ICD-10-CM Diagnosis Code T58.2X2D
Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, intentional self-harm, subsequent encounter
- ICD-10-CM Code:
- T58.2X2D
- ICD-10 Code for:
- Tox eff of carb monx fr incmpl combst dmst fuel,slf-hrm,subs
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
T58.2X2D is a billable diagnosis code used to specify a medical diagnosis of toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, intentional self-harm, 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.
T58.2X2D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like toxic effect of carbon monoxide from incomplete combustion of other domestic fuels intentional self-harm. 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:
- Self poisoning by carbon monoxide
- Self poisoning by coal gas
- Self poisoning by gas
Clinical Classification
Clinical Category | CCSR Category Code | Inpatient Default CCSR | Outpatient Default CCSR |
---|---|---|---|
Suicide attempt/intentional self-harm; subsequent encounter | MBD027 | Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis. | Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis. |
Toxic effects, subsequent encounter | INJ060 | N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis. | N - Not 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
Present on Admission (POA)
T58.2X2D 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 T58.2X2D 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 T58.2X2 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 |
---|---|---|---|---|---|---|
Coal (carbon monoxide from) [See Also: Carbon, monoxide, coal] | T58.2X1 | T58.2X2 | T58.2X3 | T58.2X4 | ||
Coal (carbon monoxide from) [See Also: Carbon, monoxide, coal] »oil | T58.2X1 | T58.2X2 | T58.2X3 | T58.2X4 | ||
Coal (carbon monoxide from) [See Also: Carbon, monoxide, coal] »tar | T58.2X1 | T58.2X2 | T58.2X3 | T58.2X4 | ||
Coal (carbon monoxide from) [See Also: Carbon, monoxide, coal] »tar »fumes | T58.2X1 | T58.2X2 | T58.2X3 | T58.2X4 | ||
Coal (carbon monoxide from) [See Also: Carbon, monoxide, coal] »tar »medicinal (ointment) | T58.2X1 | T58.2X2 | T58.2X3 | T58.2X4 | ||
Coal (carbon monoxide from) [See Also: Carbon, monoxide, coal] »tar »medicinal (ointment) »analgesics NEC | T58.2X1 | T58.2X2 | T58.2X3 | T58.2X4 | ||
Coal (carbon monoxide from) [See Also: Carbon, monoxide, coal] »tar »naphtha (solvent) | T58.2X1 | T58.2X2 | T58.2X3 | T58.2X4 | ||
Coke fumes or gas (carbon monoxide) | T58.2X1 | T58.2X2 | T58.2X3 | T58.2X4 | ||
Coke fumes or gas (carbon monoxide) »industrial use | T58.2X1 | T58.2X2 | T58.2X3 | T58.2X4 | ||
Furnace (coal burning) (domestic), gas from | T58.2X1 | T58.2X2 | T58.2X3 | T58.2X4 | ||
Furnace (coal burning) (domestic), gas from »industrial | T58.2X1 | T58.2X2 | T58.2X3 | T58.2X4 |
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.