Not Valid for Submission
T40.5X4 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of poisoning by cocaine, undetermined. The code is NOT valid for the year 2021 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.
The ICD-10-CM code T40.5X4 might also be used to specify conditions or terms like cocaine poisoning of undetermined intent, overdose of cocaine of undetermined intent, overdose of crack cocaine, overdose of crack cocaine of undetermined intent, poisoning by cocaine , poisoning by crack cocaine, etc.
Specific Coding for Poisoning by cocaine, undetermined
Header codes like T40.5X4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for poisoning by cocaine, undetermined:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Cocaine poisoning of undetermined intent
- Overdose of cocaine of undetermined intent
- Overdose of crack cocaine
- Overdose of crack cocaine of undetermined intent
- Poisoning by cocaine
- Poisoning by crack cocaine
- Poisoning by crack cocaine of undetermined intent
Table of Drugs and Chemicals
The code T40.5X4 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. According to ICD-10 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.
Information for Patients
Also called: Blow, C, Coca, Coke, Crack, Flake, Snow
Cocaine is a white powder. It can be snorted up the nose or mixed with water and injected with a needle. Cocaine can also be made into small white rocks, called crack. Crack is smoked in a small glass pipe.
Cocaine speeds up your whole body. You may feel full of energy, happy, and excited. But then your mood can change. You can become angry, nervous, and afraid that someone's out to get you. You might do things that make no sense. After the "high" of the cocaine wears off, you can "crash" and feel tired and sad for days. You also get a strong craving to take the drug again to try to feel better.
No matter how cocaine is taken, it is dangerous. Some of the most common serious problems include heart attack and stroke. You are also at risk for HIV/AIDS and hepatitis, from sharing needles or having unsafe sex. Cocaine is more dangerous when combined with other drugs or alcohol.
It is easy to lose control over cocaine use and become addicted. Then, even if you get treatment, it can be hard to stay off the drug. People who stopped using cocaine can still feel strong cravings for the drug, sometimes even years later.
NIH: National Institute on Drug Abuse
- Cocaine withdrawal (Medical Encyclopedia)
- Substance use -- cocaine (Medical Encyclopedia)
- Tips for Teens: The Truth about Cocaine (Substance Abuse and Mental Health Services Administration)
[Learn More in MedlinePlus]