T41.1X3A is a billable diagnosis code used to specify a medical diagnosis of poisoning by intravenous anesthetics, assault, initial encounter. The code T41.1X3A is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
T41.1X3A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like poisoning by intravenous anesthetics assault. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
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 Anesthetics and therapeutic gases (T41). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|917||POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC||21||1.4775|
|918||POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC||21||0.7911|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert T41.1X3A to ICD-9 Code
Table of Drugs and Chemicals
The parent code T41.1X3 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 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
What is anesthesia?
Anesthesia is the use of medicines to prevent pain during surgery and other procedures. These medicines are called anesthetics. They may be given by injection, inhalation, topical lotion, spray, eye drops, or skin patch. They cause you to have a loss of feeling or awareness.
What is anesthesia used for?
Anesthesia may be used in minor procedures, such as filling a tooth. It could be used during childbirth or procedures such as colonoscopies. And it is used during minor and major surgeries.
In some cases, a dentist, nurse, or doctor may give you an anesthetic. In other cases, you may need an anesthesiologist. This is a doctor who specializes in giving anesthesia.
What are the types of anesthesia?
There are several different types of anesthesia:
- Local anesthesia numbs a small part of the body. It might be used on a tooth that needs to be pulled or on a small area around a wound that needs stitches. You are awake and alert during local anesthesia.
- Regional anesthesia is used for larger areas of the body such as an arm, a leg, or everything below the waist. You may be awake during the procedure, or you may be given sedation. Regional anesthesia may be used during childbirth, a Cesarean section(C-section), or minor surgeries.
- General anesthesia affects the whole body. It makes you unconscious and unable to move. It is used during major surgeries, such as heart surgery, brain surgery, back surgery, and organ transplants.
What are the risks of anesthesia?
Anesthesia is generally safe. But there can be risks, especially with general anesthesia, including:
- Heart rhythm or breathing problems
- An allergic reaction to the anesthesia
- Delirium after general anesthesia. Delirium makes people confused. They may be unclear about what is happening to them. Some people over the age of 60 have delirium for several days after surgery. It can also happen to children when they first wake up from anesthesia.
- Awareness when someone is under general anesthesia. This usually means that the person hears sounds. But sometimes they can feel pain. This is rare.
[Learn More in MedlinePlus]
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
- 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]
|ICD Code||Description||Valid for Submission|
|T41||Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases||NON-BILLABLE CODE|
|T41.0||Poisoning by, adverse effect of and underdosing of inhaled anesthetics||NON-BILLABLE CODE|
|T41.0X||Poisoning by, adverse effect of and underdosing of inhaled anesthetics||NON-BILLABLE CODE|
|T41.0X1||Poisoning by inhaled anesthetics, accidental (unintentional)||NON-BILLABLE CODE|
|T41.0X1A||Poisoning by inhaled anesthetics, accidental (unintentional), initial encounter||BILLABLE CODE|
|T41.0X1D||Poisoning by inhaled anesthetics, accidental (unintentional), subsequent encounter||BILLABLE CODE|
|T41.0X1S||Poisoning by inhaled anesthetics, accidental (unintentional), sequela||BILLABLE CODE|
|T41.0X2||Poisoning by inhaled anesthetics, intentional self-harm||NON-BILLABLE CODE|
|T41.0X2A||Poisoning by inhaled anesthetics, intentional self-harm, initial encounter||BILLABLE CODE|
|T41.0X2D||Poisoning by inhaled anesthetics, intentional self-harm, subsequent encounter||BILLABLE CODE|
|T41.0X2S||Poisoning by inhaled anesthetics, intentional self-harm, sequela||BILLABLE CODE|
|T41.0X3||Poisoning by inhaled anesthetics, assault||NON-BILLABLE CODE|
|T41.0X3A||Poisoning by inhaled anesthetics, assault, initial encounter||BILLABLE CODE|
|T41.0X3D||Poisoning by inhaled anesthetics, assault, subsequent encounter||BILLABLE CODE|
|T41.0X3S||Poisoning by inhaled anesthetics, assault, sequela||BILLABLE CODE|
|T41.0X4||Poisoning by inhaled anesthetics, undetermined||NON-BILLABLE CODE|
|T41.0X4A||Poisoning by inhaled anesthetics, undetermined, initial encounter||BILLABLE CODE|
|T41.0X4D||Poisoning by inhaled anesthetics, undetermined, subsequent encounter||BILLABLE CODE|
|T41.0X4S||Poisoning by inhaled anesthetics, undetermined, sequela||BILLABLE CODE|
|T41.0X5||Adverse effect of inhaled anesthetics||NON-BILLABLE CODE|
|T41.0X5A||Adverse effect of inhaled anesthetics, initial encounter||BILLABLE CODE|
|T41.0X5D||Adverse effect of inhaled anesthetics, subsequent encounter||BILLABLE CODE|
|T41.0X5S||Adverse effect of inhaled anesthetics, sequela||BILLABLE CODE|
|T41.0X6||Underdosing of inhaled anesthetics||NON-BILLABLE CODE|
|T41.0X6A||Underdosing of inhaled anesthetics, initial encounter||BILLABLE CODE|
|T41.0X6D||Underdosing of inhaled anesthetics, subsequent encounter||BILLABLE CODE|
|T41.0X6S||Underdosing of inhaled anesthetics, sequela||BILLABLE CODE|
|T41.1||Poisoning by, adverse effect of and underdosing of intravenous anesthetics||NON-BILLABLE CODE|
|T41.1X||Poisoning by, adverse effect of and underdosing of intravenous anesthetics||NON-BILLABLE CODE|
|T41.1X1||Poisoning by intravenous anesthetics, accidental (unintentional)||NON-BILLABLE CODE|
|T41.1X1A||Poisoning by intravenous anesthetics, accidental (unintentional), initial encounter||BILLABLE CODE|
|T41.1X1D||Poisoning by intravenous anesthetics, accidental (unintentional), subsequent encounter||BILLABLE CODE|
|T41.1X1S||Poisoning by intravenous anesthetics, accidental (unintentional), sequela||BILLABLE CODE|
|T41.1X2||Poisoning by intravenous anesthetics, intentional self-harm||NON-BILLABLE CODE|
|T41.1X2A||Poisoning by intravenous anesthetics, intentional self-harm, initial encounter||BILLABLE CODE|
|T41.1X2D||Poisoning by intravenous anesthetics, intentional self-harm, subsequent encounter||BILLABLE CODE|
|T41.1X2S||Poisoning by intravenous anesthetics, intentional self-harm, sequela||BILLABLE CODE|
|T41.1X3||Poisoning by intravenous anesthetics, assault||NON-BILLABLE CODE|
|T41.1X3D||Poisoning by intravenous anesthetics, assault, subsequent encounter||BILLABLE CODE|
|T41.1X3S||Poisoning by intravenous anesthetics, assault, sequela||BILLABLE CODE|
|T41.1X4||Poisoning by intravenous anesthetics, undetermined||NON-BILLABLE CODE|
|T41.1X4A||Poisoning by intravenous anesthetics, undetermined, initial encounter||BILLABLE CODE|
|T41.1X4D||Poisoning by intravenous anesthetics, undetermined, subsequent encounter||BILLABLE CODE|
|T41.1X4S||Poisoning by intravenous anesthetics, undetermined, sequela||BILLABLE CODE|
|T41.1X5||Adverse effect of intravenous anesthetics||NON-BILLABLE CODE|
|T41.1X5A||Adverse effect of intravenous anesthetics, initial encounter||BILLABLE CODE|
|T41.1X5D||Adverse effect of intravenous anesthetics, subsequent encounter||BILLABLE CODE|
|T41.1X5S||Adverse effect of intravenous anesthetics, sequela||BILLABLE CODE|
|T41.1X6||Underdosing of intravenous anesthetics||NON-BILLABLE CODE|
|T41.1X6A||Underdosing of intravenous anesthetics, initial encounter||BILLABLE CODE|
|T41.1X6D||Underdosing of intravenous anesthetics, subsequent encounter||BILLABLE CODE|