Valid for Submission
T40.5X4S is a billable diagnosis code used to specify a medical diagnosis of poisoning by cocaine, undetermined, sequela. The code T40.5X4S is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code T40.5X4S 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. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
T40.5X4S 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 cocaine undetermined. 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.
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
Diagnostic Related Groups - MS-DRG Mapping
Present on Admission (POA)
Convert T40.5X4S to ICD-9 Code
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)
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