2024 ICD-10-CM Diagnosis Code T65.892D

Toxic effect of other specified substances, intentional self-harm, subsequent encounter

ICD-10-CM Code:
T65.892D
ICD-10 Code for:
Toxic effect of oth substances, intentional self-harm, subs
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 other and unspecified substances
        (T65)

T65.892D is a billable diagnosis code used to specify a medical diagnosis of toxic effect of other specified substances, 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.

T65.892D 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 other specified substances 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.

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Suicide attempt/intentional self-harm; subsequent encounterMBD027Y - 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 encounterINJ060N - 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

  • Acrylamide

    a colorless, odorless, highly water soluble vinyl monomer formed from the hydration of acrylonitrile. it is primarily used in research laboratories for electrophoresis, chromatography, and electron microscopy and in the sewage and wastewater treatment industries.
  • Acrylamides

    colorless, odorless crystals that are used extensively in research laboratories for the preparation of polyacrylamide gels for electrophoresis and in organic synthesis, and polymerization. some of its polymers are used in sewage and wastewater treatment, permanent press fabrics, and as soil conditioning agents.
  • Acrylonitrile

    a highly poisonous compound used widely in the manufacture of plastics, adhesives and synthetic rubber.
  • Epoxide Hydrolases

    enzymes that catalyze reversibly the formation of an epoxide or arene oxide from a glycol or aromatic diol, respectively.
  • Styrene

    a colorless, toxic liquid with a strong aromatic odor. it is used to make rubbers, polymers and copolymers, and polystyrene plastics.
  • Styrenes

    derivatives and polymers of styrene. they are used in the manufacturing of synthetic rubber, plastics, and resins. some of the polymers form the skeletal structures for ion exchange resin beads.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Toxic effect of other and unspecified substances (T65). Use the following options for the aplicable episode of care:

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

Present on Admission (POA)

T65.892D 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 T65.892D 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 T65.892 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
AcrylamideT65.891T65.892T65.893T65.894  
AcrylonitrileT65.891T65.892T65.893T65.894  
Adhesive NECT65.891T65.892T65.893T65.894  
Antiaris toxicariaT65.891T65.892T65.893T65.894  
AuramineT65.891T65.892T65.893T65.894  
Auramine
  »dye
T65.891T65.892T65.893T65.894  
Auramine
  »fungicide
T65.891T65.892T65.893T65.894  
BenzidineT65.891T65.892T65.893T65.894  
Bergamot oilT65.891T65.892T65.893T65.894  
Cleaner, cleansing agent, type not specifiedT65.891T65.892T65.893T65.894  
Cleaner, cleansing agent, type not specified
  »of paint or varnish
T65.891T65.892T65.893T65.894  
Cleaner, cleansing agent, type not specified
  »specified type NEC
T65.891T65.892T65.893T65.894  
CorditeT65.891T65.892T65.893T65.894  
Cordite
  »vapor
T65.891T65.892T65.893T65.894  
DiethylhexylphthalateT65.891T65.892T65.893T65.894  
DisinfectantT65.891T65.892T65.893T65.894  
Disinfectant
  »alkaline
T65.891T65.892T65.893T65.894  
Disinfectant
  »aromatic
T65.891T65.892T65.893T65.894  
Disinfectant
  »intestinal
T65.891T65.892T65.893T65.894  
Epoxy resinT65.891T65.892T65.893T65.894  
Fertilizers NECT65.891T65.892T65.893T65.894  
Fertilizers NEC
  »with herbicide mixture
T65.891T65.892T65.893T65.894  
Furniture polishT65.891T65.892T65.893T65.894  
Glutaraldehyde (nonmedicinal)T65.891T65.892T65.893T65.894  
Glutaraldehyde (nonmedicinal)
  »medicinal
T65.891T65.892T65.893T65.894  
GreaseT65.891T65.892T65.893T65.894  
GuanoT65.891T65.892T65.893T65.894  
InkT65.891T65.892T65.893T65.894  
IsophoroneT65.891T65.892T65.893T65.894  
Liquor creosolis compositusT65.891T65.892T65.893T65.894  
Monosodium glutamateT65.891T65.892T65.893T65.894  
MyristicinT65.891T65.892T65.893T65.894  
NaphtholT65.891T65.892T65.893T65.894  
NaphthylamineT65.891T65.892T65.893T65.894  
NitrocelluloseT65.891T65.892T65.893T65.894  
Nitrocellulose
  »lacquer
T65.891T65.892T65.893T65.894  
NitronaphthaleneT65.891T65.892T65.893T65.894  
Oil (of)T65.891T65.892T65.893T65.894  
Oil (of)
  »bitter almond
T65.891T65.892T65.893T65.894  
Oil (of)
  »cloves
T65.891T65.892T65.893T65.894  
Oil (of)
  »colors
T65.891T65.892T65.893T65.894  
Oil (of)
  »fumes
T65.891T65.892T65.893T65.894  
Oil (of)
  »lubricating
T65.891T65.892T65.893T65.894  
Oil (of)
  »Niobe
T65.891T65.892T65.893T65.894  
Oil (of)
  »vitriol (liquid)
T65.891T65.892T65.893T65.894  
Oil (of)
  »vitriol (liquid)
    »fumes
T65.891T65.892T65.893T65.894  
Oil (of)
  »wintergreen (bitter) NEC
T65.891T65.892T65.893T65.894  
PBB (polybrominated biphenyls)T65.891T65.892T65.893T65.894  
PCBT65.891T65.892T65.893T65.894  
PermanganateT65.891T65.892T65.893T65.894  
PhosphateT65.891T65.892T65.893T65.894  
Phosphate
  »laxative
T65.891T65.892T65.893T65.894  
Phosphate
  »organic
T65.891T65.892T65.893T65.894  
Phosphate
  »solvent
T65.891T65.892T65.893T65.894  
Phosphate
  »tricresyl
T65.891T65.892T65.893T65.894  
PhthalatesT65.891T65.892T65.893T65.894  
Phthalic anhydrideT65.891T65.892T65.893T65.894  
Pine oil (disinfectant)T65.891T65.892T65.893T65.894  
PitchT65.891T65.892T65.893T65.894  
PlantT65.891T65.892T65.893T65.894  
Plant
  »food or fertilizer NEC
T65.891T65.892T65.893T65.894  
Plant
  »food or fertilizer NEC
    »containing herbicide
T65.891T65.892T65.893T65.894  
Plant
  »noxious, used as food
T65.891T65.892T65.893T65.894  
Plant
  »noxious, used as food
    »berries
T65.891T65.892T65.893T65.894  
Plant
  »noxious, used as food
    »seeds
T65.891T65.892T65.893T65.894  
Plant
  »noxious, used as food
    »specified type NEC
T65.891T65.892T65.893T65.894  
Polish (car) (floor) (furni-ture) (metal) (porcelain) (silver)T65.891T65.892T65.893T65.894  
Polish (car) (floor) (furni-ture) (metal) (porcelain) (silver)
  »abrasive
T65.891T65.892T65.893T65.894  
Polish (car) (floor) (furni-ture) (metal) (porcelain) (silver)
  »porcelain
T65.891T65.892T65.893T65.894  
Polychlorinated biphenylT65.891T65.892T65.893T65.894  
Preservative (nonmedicinal)T65.891T65.892T65.893T65.894  
Preservative (nonmedicinal)
  »medicinal
T65.891T65.892T65.893T65.894  
Preservative (nonmedicinal)
  »wood
T65.891T65.892T65.893T65.894  
Prussian blueT65.891T65.892T65.893T65.894  
Prussian blue
  »commercial
T65.891T65.892T65.893T65.894  
Prussian blue
  »therapeutic
T65.891T65.892T65.893T65.894  
Psoralene (nonmedicinal)T65.891T65.892T65.893T65.894  
Reducing agent, industrial NECT65.891T65.892T65.893T65.894  
Resorcin, resorcinol (nonmedicinal)T65.891T65.892T65.893T65.894  
Resorcin, resorcinol (nonmedicinal)
  »medicinal
T65.891T65.892T65.893T65.894  
Scouring powderT65.891T65.892T65.893T65.894  
Silicone NECT65.891T65.892T65.893T65.894  
Silicone NEC
  »medicinal
T65.891T65.892T65.893T65.894  
Soldering fluidT65.891T65.892T65.893T65.894  
StyreneT65.891T65.892T65.893T65.894  
Tartaric acidT65.891T65.892T65.893T65.894  
Thioglycolic acidT65.891T65.892T65.893T65.894  
Toilet deodorizerT65.891T65.892T65.893T65.894  
ToluidineT65.891T65.892T65.893T65.894  
Toluidine
  »vapor
T65.891T65.892T65.893T65.894  
Tricresyl phosphateT65.891T65.892T65.893T65.894  
Tricresyl phosphate
  »solvent
T65.891T65.892T65.893T65.894  
Triorthocresyl phosphateT65.891T65.892T65.893T65.894  
TriphenylphosphateT65.891T65.892T65.893T65.894  
VinylT65.891T65.892T65.893T65.894  
Vinyl
  »acetate
T65.891T65.892T65.893T65.894  
Vinyl
  »bital
T65.891T65.892T65.893T65.894  
Vinyl
  »bromide
T65.891T65.892T65.893T65.894  
Vinyl
  »chloride
T65.891T65.892T65.893T65.894  
Vinyl
  »ether
T65.891T65.892T65.893T65.894  
Vinylidene chlorideT65.891T65.892T65.893T65.894  
WhitewashT65.891T65.892T65.893T65.894  
Window cleaning fluidT65.891T65.892T65.893T65.894  

Patient Education


Poisoning

A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include:

  • Prescription or over-the-counter medicines taken in doses that are too high
  • Overdoses of illegal drugs
  • Carbon monoxide from gas appliances
  • Household products, such as laundry powder or furniture polish
  • Pesticides
  • Indoor or outdoor plants
  • Metals such as lead and mercury

The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.


[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.