ICD-10 Code T40.4X2

Poisoning by other synthetic narcotics, intentional self-harm

Version 2019 Replaced Code Non-Billable Code Poisoning Intentional
ICD-10:T40.4X2
Short Description:Poisoning by oth synthetic narcotics, intentional self-harm
Long Description:Poisoning by other synthetic narcotics, intentional self-harm

Not Valid for Submission

ICD-10 T40.4X2 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of poisoning by other synthetic narcotics, intentional self-harm. The code is NOT valid for the year 2019 for the submission of HIPAA-covered transactions.

Consider the following ICD-10 codes with a higher level of specificity:

  • T40.4X2A - Poisoning by other synthetic narcotics, intentional self-harm, initial encounter
  • T40.4X2D - Poisoning by other synthetic narcotics, intentional self-harm, subsequent encounter
  • T40.4X2S - Poisoning by other synthetic narcotics, intentional self-harm, sequela

Deleted Code

This code was deleted in the 2019 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2018. This code was replaced for the FY 2019 (October 1, 2018 - September 30, 2019).

  • K59.03 - Drug induced constipation

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances (T36-T50)
      • Narcotics and psychodysleptics (T40)

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code T40.4X2 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 917 - POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
  • 918 - POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
  • 922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
  • 923 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
  • 949 - AFTERCARE WITH CC/MCC
  • 950 - AFTERCARE WITHOUT CC/MCC

Synonyms

The following clinical terms are approximate synonyms:

  • Acetaminophen and dextropropoxyphene overdose
  • Acetaminophen and dextropropoxyphene poisoning
  • Acetaminophen overdose
  • Alfentanil overdose
  • Alfentanil poisoning
  • Buprenorphine overdose
  • Buprenorphine poisoning
  • Dextromoramide overdose
  • Dextromoramide poisoning
  • Dextropropoxyphene overdose
  • Dextropropoxyphene overdose
  • Dextropropoxyphene poisoning
  • Dextropropoxyphene poisoning
  • Dipipanone overdose
  • Dipipanone poisoning
  • Fentanyl overdose
  • Fentanyl poisoning
  • Intentional acetaminophen and dextropropoxyphene overdose
  • Intentional acetaminophen and dextropropoxyphene poisoning
  • Intentional alfentanil overdose
  • Intentional alfentanil poisoning
  • Intentional buprenorphine overdose
  • Intentional buprenorphine poisoning
  • Intentional dextromoramide overdose
  • Intentional dextromoramide poisoning
  • Intentional dextropropoxyphene overdose
  • Intentional dextropropoxyphene overdose
  • Intentional dextropropoxyphene poisoning
  • Intentional dextropropoxyphene poisoning
  • Intentional dipipanone overdose
  • Intentional dipipanone poisoning
  • Intentional fentanyl overdose
  • Intentional fentanyl poisoning
  • Intentional levorphanol overdose
  • Intentional levorphanol poisoning
  • Intentional nalbuphine overdose
  • Intentional nalbuphine poisoning
  • Intentional paracetamol overdose
  • Intentional paracetamol poisoning
  • Intentional pentazocine overdose
  • Intentional pentazocine poisoning
  • Intentional pethidine overdose
  • Intentional pethidine poisoning
  • Intentional phenazocine overdose
  • Intentional phenazocine poisoning
  • Intentional phenoperidine overdose
  • Intentional phenoperidine poisoning
  • Levorphanol overdose
  • Levorphanol poisoning
  • Morphinan opioid overdose
  • Morphinan opioid overdose
  • Morphinan opioid poisoning
  • Morphinan opioid poisoning
  • Nalbuphine overdose
  • Nalbuphine poisoning
  • Pentazocine overdose
  • Pethidine overdose
  • Phenazocine overdose
  • Phenazocine poisoning
  • Phenoperidine overdose
  • Phenoperidine poisoning
  • Poisoning by acetaminophen
  • Poisoning by meperidine
  • Poisoning by pentazocine

Table of Drugs and Chemicals

The code T40.4X2 is included 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. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. Use as many codes as necessary to describe all reported drugs, medicinal or chemical substances.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
self-harm
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
AlfentanilT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
AlphaprodineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
AnileridineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
BezitramideT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
BuprenorphineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
ButorphanolT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
DextromoramideT40.4X1T40.4X2T40.4X3T40.4X4
Dextromoramide
  »topical
T40.4X1T40.4X2T40.4X3T40.4X4
DextropropoxypheneT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
DipipanoneT40.4X1T40.4X2T40.4X3T40.4X4
EptazocineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
EthoheptazineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
FentanylT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
IsonipecaineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
KetobemidoneT40.4X1T40.4X2T40.4X3T40.4X4
LevopropoxypheneT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
LevorphanolT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
MeperidineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
NalbuphineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
PentazocineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
PethidineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
PhenazocineT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
PhenoperidineT40.4X1T40.4X2T40.4X3T40.4X4
PiritramideT40.4X1T40.4X2T40.4X3T40.4X4
ProfadolT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
PropoxypheneT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
SufentanilT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6
TilidineT40.4X1T40.4X2T40.4X3T40.4X4
TramadolT40.4X1T40.4X2T40.4X3T40.4X4T40.4X5T40.4X6

Information for Patients


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.

  • Poisoning (Medical Encyclopedia)
  • Poisoning first aid (Medical Encyclopedia)
  • Toxicology screen (Medical Encyclopedia)

[Read More]

Self-Harm

Self-harm refers to a person's harming their own body on purpose. About 1 in 100 people hurts himself or herself in this way. More females hurt themselves than males. A person who self-harms usually does not mean to kill himself or herself. But they are at higher risk of attempting suicide if they do not get help.

Self-harm tends to begin in teen or early adult years. Some people may engage in self-harm a few times and then stop. Others engage in it more often and have trouble stopping.

Examples of self-harm include

  • Cutting yourself (such as using a razor blade, knife, or other sharp object to cut the skin)
  • Punching yourself or punching things (like a wall)
  • Burning yourself with cigarettes, matches, or candles
  • Pulling out your hair
  • Poking objects through body openings
  • Breaking your bones or bruising yourself

Many people cut themselves because it gives them a sense of relief. Some people use cutting as a means to cope with a problem. Some teens say that when they hurt themselves, they are trying to stop feeling lonely, angry, or hopeless.

It is possible to overcome the urge to hurt yourself. There are other ways to find relief and cope with your emotions. Counseling may help.

Dept. of Health and Human Services, Office on Women's Health

  • Trichotillomania (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.