2026 ICD-10-CM Diagnosis Code T39.311SPoisoning by propionic acid derivatives, accidental (unintentional), sequela
T39.311S is a billable ICD-10-CM diagnosis code for poisoning by propionic acid derivatives, accidental (unintentional), sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 922 through 923. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Poisoning/toxic effect/adverse effects/underdosing, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
T39.311S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Accidental fenoprofen overdose
- Accidental fenoprofen poisoning
- Accidental flurbiprofen overdose
- Accidental flurbiprofen poisoning
- Accidental ibuprofen overdose
- Accidental ketoprofen overdose
- Accidental naproxen overdose
- Accidental poisoning by ibuprofen
- Accidental poisoning by ketoprofen
- Accidental poisoning by naproxen
- Accidental tiaprofenic acid overdose
- Accidental tiaprofenic acid poisoning
- Fenoprofen overdose
- Fenoprofen poisoning
- Flurbiprofen overdose
- Flurbiprofen poisoning
- Ibuprofen overdose
- Ibuprofen poisoning
- Ketoprofen overdose
- Ketoprofen poisoning
- Naproxen overdose
- Naproxen poisoning
- Poisoning caused by propionic acid and/or propionic acid derivative
- Tiaprofenic acid overdose
- Tiaprofenic acid poisoning
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Fenoprofen
a propionic acid derivative that is used as a non-steroidal anti-inflammatory agent.Flurbiprofen
an anti-inflammatory analgesic and antipyretic of the phenylalkynoic acid series. it has been shown to reduce bone resorption in periodontal disease by inhibiting carbonic anhydrase.Ibuprofen
a non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory propertiesKetoprofen
an ibuprofen-type anti-inflammatory analgesic and antipyretic. it is used in the treatment of rheumatoid arthritis and osteoarthritis.Carboxylesterase
carboxylesterase is a serine-dependent esterase with wide substrate specificity. the enzyme is involved in the detoxification of xenobiotics and the activation of ester and of amide prodrugs.Naproxen
an anti-inflammatory agent with analgesic and antipyretic properties. both the acid and its sodium salt are used in the treatment of rheumatoid arthritis and other rheumatic or musculoskeletal disorders, dysmenorrhea, and acute gout.Oxaprozin
an oxazole-propionic acid derivative, cyclooxygenase inhibitor, and non-steroidal anti-inflammatory drug that is used in the treatment of pain and inflammation associated with of osteoarthritis; rheumatoid arthritis; and arthritis, juvenile.Suprofen
an ibuprofen-type anti-inflammatory analgesic and antipyretic. it inhibits prostaglandin synthesis and has been proposed as an anti-arthritic.
Table of Drugs and ChemicalsClinical
Substances in the Table of Drugs and Chemicals that reference this code family. Always confirm in the Tabular List before coding.
| Substance | Accidental | Self-harm | Assault | Undetermined | Adverse Effect | Underdosing |
|---|---|---|---|---|---|---|
| Carprofen | T39.311 | T39.312 | T39.313 | T39.314 | T39.315 | T39.316 |
| Esflurbiprofen | T39.311 | T39.312 | T39.313 | T39.314 | T39.315 | T39.316 |
| Fenoprofen | T39.311 | T39.312 | T39.313 | T39.314 | T39.315 | T39.316 |
| Flurbiprofen | T39.311 | T39.312 | T39.313 | T39.314 | T39.315 | T39.316 |
| Ibufenac | T39.311 | T39.312 | T39.313 | T39.314 | T39.315 | T39.316 |
| Ibuprofen | T39.311 | T39.312 | T39.313 | T39.314 | T39.315 | T39.316 |
| Ibuproxam | T39.311 | T39.312 | T39.313 | T39.314 | T39.315 | T39.316 |
| Ketoprofen | T39.311 | T39.312 | T39.313 | T39.314 | T39.315 | T39.316 |
| Naproxen | T39.311 | T39.312 | T39.313 | T39.314 | T39.315 | T39.316 |
| Oxaprozin | T39.311 | T39.312 | T39.313 | T39.314 | T39.315 | T39.316 |
| Suprofen | T39.311 | T39.312 | T39.313 | T39.314 | T39.315 | T39.316 |
| Tiaprofenic acid | T39.311 | T39.312 | T39.313 | T39.314 | T39.315 | T39.316 |
Patient EducationClinical
Medication Errors
Medicines treat infectious diseases, prevent problems from chronic diseases, and ease pain. But medicines can also cause harmful reactions if not used correctly. Errors can happen in the hospital, at the health care provider's office, at the pharmacy, or at home. You can help prevent errors by:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert T39.311S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T39.311SOverview
Is T39.311S a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report poisoning by propionic acid derivatives, accidental (unintentional), sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in T39.311S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the poisoning by propionic acid derivatives, accidental (unintentional) itself has resolved, not the original event.
What MS-DRG does T39.311S group to?
When poisoning by propionic acid derivatives, accidental (unintentional), sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 922, 923, with relative weights from 1.0177 to 1.7494 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T39.311S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for poisoning by propionic acid derivatives, accidental (unintentional), sequela on inpatient claims.
What is the ICD-9 equivalent of T39.311S?
Under the General Equivalence Mappings, poisoning by propionic acid derivatives, accidental (unintentional), sequela converts to ICD-9-CM 909.0 (late eff drug poisoning) and E929.2 (late eff acc poisoning). The mapping is approximate, so confirm the match fits the documentation.
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.
