2024 ICD-10-CM Diagnosis Code T36.2X2

Poisoning by chloramphenicol group, intentional self-harm

ICD-10-CM Code:
T36.2X2
ICD-10 Code for:
Poisoning by chloramphenicol group, intentional self-harm
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
      (T36-T50)
      • Poisoning by, adverse effect of and underdosing of systemic antibiotics
        (T36)

T36.2X2 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 chloramphenicol group, intentional self-harm. 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 chloramphenicol group, intentional self-harm

Non-specific codes like T36.2X2 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 chloramphenicol group, intentional self-harm:

  • Use T36.2X2A for initial encounter - BILLABLE CODE

  • Use T36.2X2D for subsequent encounter - BILLABLE CODE

  • Use T36.2X2S for sequela - BILLABLE CODE

Approximate Synonyms

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

  • Chloramphenicol overdose
  • Intentional chloramphenicol overdose
  • Intentional chloramphenicol poisoning
  • Poisoning by chloramphenicol
  • Poisoning by chloramphenicol

Clinical Information

  • Chloramphenicol

    an antibiotic first isolated from cultures of streptomyces venequelae in 1947 but now produced synthetically. it has a relatively simple structure and was the first broad-spectrum antibiotic to be discovered. it acts by interfering with bacterial protein synthesis and is mainly bacteriostatic. (from martindale, the extra pharmacopoeia, 29th ed, p106)
  • Chloramphenicol O-Acetyltransferase

    an enzyme that catalyzes the acetylation of chloramphenicol to yield chloramphenicol 3-acetate. since chloramphenicol 3-acetate does not bind to bacterial ribosomes and is not an inhibitor of peptidyltransferase, the enzyme is responsible for the naturally occurring chloramphenicol resistance in bacteria. the enzyme, for which variants are known, is found in both gram-negative and gram-positive bacteria. ec 2.3.1.28.
  • Chloramphenicol Resistance

    nonsusceptibility of bacteria to the action of chloramphenicol, a potent inhibitor of protein synthesis in the 50s ribosomal subunit where amino acids are added to nascent bacterial polypeptides.
  • Thiamphenicol

    a methylsulfonyl analog of chloramphenicol. it is an antibiotic and immunosuppressive agent.

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 systemic antibiotics (T36). Use the following options for the aplicable episode of care:

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

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
ChloramphenicolT36.2X1T36.2X2T36.2X3T36.2X4T36.2X5T36.2X6
Chloramphenicol
  »ENT agent
T36.2X1T36.2X2T36.2X3T36.2X4T36.2X5T36.2X6
Chloramphenicol
  »ophthalmic preparation
T36.2X1T36.2X2T36.2X3T36.2X4T36.2X5T36.2X6
Chloramphenicol
  »topical NEC
T36.2X1T36.2X2T36.2X3T36.2X4T36.2X5T36.2X6
ChloromycetinT36.2X1T36.2X2T36.2X3T36.2X4T36.2X5T36.2X6
Chloromycetin
  »ENT agent
T36.2X1T36.2X2T36.2X3T36.2X4T36.2X5T36.2X6
Chloromycetin
  »ophthalmic preparation
T36.2X1T36.2X2T36.2X3T36.2X4T36.2X5T36.2X6
Chloromycetin
  »otic solution
T36.2X1T36.2X2T36.2X3T36.2X4T36.2X5T36.2X6
Chloromycetin
  »topical NEC
T36.2X1T36.2X2T36.2X3T36.2X4T36.2X5T36.2X6
ClopononeT36.2X1T36.2X2T36.2X3T36.2X4T36.2X5T36.2X6
CloramfenicolT36.2X1T36.2X2T36.2X3T36.2X4T36.2X5T36.2X6
ThiamphenicolT36.2X1T36.2X2T36.2X3T36.2X4T36.2X5T36.2X6

Patient Education


Antibiotics

What are antibiotics?

Antibiotics are medicines that fight bacterial infections in people and animals. They work by killing the bacteria or by making it hard for the bacteria to grow and multiply.

Antibiotics can be taken in different ways:

  • Orally (by mouth). This could be pills, capsules, or liquids.
  • Topically. This might be a cream, spray, or ointment that you put on your skin. It could also be eye ointment, eye drops, or ear drops.
  • Through an injection or intravenously (IV). This is usually for more serious infections.

What do antibiotics treat?

Antibiotics only treat certain bacterial infections, such as strep throat, urinary tract infections, and E. coli.

You may not need to take antibiotics for some bacterial infections. For example, you might not need them for many sinus infections or some ear infections. Taking antibiotics when they're not needed won't help you, and they can have side effects. Your health care provider can decide the best treatment for you when you're sick. Don't ask your provider to prescribe an antibiotic for you.

Do antibiotics treat viral infections?

Antibiotics do not work on viral infections. For example, you shouldn't take antibiotics for:

  • Colds and runny noses, even if the mucus is thick, yellow, or green
  • Most sore throats (except strep throat)
  • Flu
  • Most cases of bronchitis

What are the side effects of antibiotics?

The side effects of antibiotics range from minor to very severe. Some of the common side effects include:

  • Rash
  • Nausea
  • Diarrhea
  • Yeast infections

More serious side effects can include:

  • C. diff infections, which cause diarrhea that can lead to severe colon damage and sometimes even death
  • Severe and life-threatening allergic reactions
  • Antibiotic resistance infections

Call your health care provider if you develop any side effects while taking your antibiotic.

Why is it important to take antibiotics only when they're needed?

You should only take antibiotics when they are needed because they can cause side effects and can contribute to antibiotic resistance. Antibiotic resistance happens when the bacteria change and become able to resist the effects of an antibiotic. This means that the bacteria continue to grow.

How do I use antibiotics correctly?

When you take antibiotics, it is important that you take them responsibly:

  • Always follow the directions carefully. Finish your medicine even if you feel better. If you stop taking them too soon, some bacteria may survive and re-infect you.
  • Don't save your antibiotics for later.
  • Don't share your antibiotic with others.
  • Don't take antibiotics prescribed for someone else. This may delay the best treatment for you, make you even sicker, or cause side effects.

Centers for Disease Control and Prevention


[Learn More in MedlinePlus]

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.