2024 ICD-10-CM Diagnosis Code T39.8X3S

Poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, assault, sequela

ICD-10-CM Code:
T39.8X3S
ICD-10 Code for:
Poisn by oth nonopio analges/antipyret, NEC, asslt, 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)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
      (T36-T50)
      • Poisoning by, adverse effect of and underdosing of nonopioid analgesics, antipyretics and antirheumatics
        (T39)

T39.8X3S is a billable diagnosis code used to specify a medical diagnosis of poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, assault, 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.

T39.8X3S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like poisoning by other nonopioid analgesics and antipyretics not elsewhere classified assault. 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.

Clinical Classification

Clinical Information

  • Clonixin

    anti-inflammatory analgesic.
  • Glafenine

    an anthranilic acid derivative with analgesic properties used for the relief of all types of pain.
  • Jamaica

    an island in the greater antilles in the west indies. its capital is kingston. it was discovered in 1494 by columbus and was a spanish colony 1509-1655 until captured by the english. its flourishing slave trade was abolished in the 19th century. it was a british colony 1655-1958 and a territory of the west indies federation 1958-62. it achieved full independence in 1962. the name is from the arawak xaymaca, rich in springs or land of springs. (from webster's new geographical dictionary, 1988, p564 & room, brewer's dictionary of names, 1992, p267)
  • Smilax

    a plant genus of the family smilacaceae. members contain smiglasides (phenylpropanoid glycosides) and steroidal saponins. commercially it is sometimes adulterated with hemidesmus, which would affect experimental results. drinks called sarsaparilla and root beer have been prepared from the smilaz ornata (jamaican sarsaparilla) and sassafras.
  • Ketorolac

    a pyrrolizine carboxylic acid derivative structurally related to indomethacin. it is an nsaid and is used principally for its analgesic activity. (from martindale the extra pharmacopoeia, 31st ed)
  • Ketorolac Tromethamine

    a pyrrolizine carboxylic acid derivative structurally related to indomethacin. it is a non-steroidal anti-inflammatory agent used for analgesia for postoperative pain and inhibits cyclooxygenase activity.
  • Meptazinol

    a narcotic antagonist with analgesic properties. it is used for the control of moderate to severe pain.
  • Nefopam

    non-narcotic analgesic chemically similar to orphenadrine. its mechanism of action is unclear. it is used for the relief of acute and chronic pain. (from martindale, the extra pharmacopoeia, 30th ed, p26)
  • Phenazopyridine

    a local anesthetic that has been used in urinary tract disorders. its use is limited by problems with toxicity (primarily blood disorders) and potential carcinogenicity.
  • Sumatriptan

    a serotonin agonist that acts selectively at 5ht1 receptors. it is used in the treatment of migraine disorders.

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 nonopioid analgesics, antipyretics and antirheumatics (T39). Use the following options for the aplicable episode of care:

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

Present on Admission (POA)

T39.8X3S 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 T39.8X3S to ICD-9-CM

  • ICD-9-CM Code: 909.0 - Late eff drug poisoning
    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: E969 - Late effect assault
    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 T39.8X3 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
AcetylphenylhydrazineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
CarbipheneT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
ClonixinT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
CropropamideT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Cropropamide
  »with crotethamide
T39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
CrotethamideT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Crotethamide
  »with cropropamide
T39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
CryogenineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
CyclopyrabitalT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
DarvonT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
DiclonixineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
DoloxeneT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
EmorfazoneT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
EtomideT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
FloctafenineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
FluradolineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
GlafenineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
JamaicaT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Jamaica
  »dogwood (bark)
T39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Jamaica
  »ginger
T39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Jamaica
  »ginger
    »root
T39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
KetorolacT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
LefetamineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
MeptazinolT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
MethopholineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
MetofolineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
NefopamT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
OxetoroneT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Pentosan polysulfate (sodium)T39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
PerisoxalT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
PhenazopyridineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
PhenicarbazideT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Phenyramidol, phenyramidonT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Piscidia (bark) (erythrina)T39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
PyrabitalT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
PyridiumT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Rimazolium metilsulfateT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
SumatriptanT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
TiaramideT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
TinoridineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
VersidyneT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
ViminolT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
ZactaneT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6

Patient Education


Pain Relievers

Pain relievers are medicines that reduce or relieve headaches, sore muscles, arthritis, or other aches and pains. There are many different pain medicines, and each one has advantages and risks. Some types of pain respond better to certain medicines than others. Each person may also have a slightly different response to a pain reliever.

Over-the-counter (OTC) medicines are good for many types of pain. There are two main types of OTC pain medicines: acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs). Aspirin, naproxen (Aleve), and ibuprofen (Advil, Motrin) are examples of OTC NSAIDs.

If OTC medicines don't relieve your pain, your doctor may prescribe something stronger. Many NSAIDs are also available at higher prescription doses. The most powerful pain relievers are opioids. They are very effective, but they can sometimes have serious side effects. There is also a risk of addiction. Because of the risks, you must use them only under a doctor's supervision.

There are many things you can do to help ease pain. Pain relievers are just one part of a pain treatment plan.


[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.

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.