2024 ICD-10-CM Diagnosis Code T41.292

Poisoning by other general anesthetics, intentional self-harm

ICD-10-CM Code:
T41.292
ICD-10 Code for:
Poisoning by oth general anesthetics, intentional self-harm
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
      (T36-T50)
      • Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases
        (T41)

T41.292 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of poisoning by other general anesthetics, intentional self-harm. The code is not specific and is NOT valid for the year 2024 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.

Specific Coding Applicable to Poisoning by oth general anesthetics, intentional self-harm

Non-specific codes like T41.292 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for poisoning by oth general anesthetics, intentional self-harm:

  • Use T41.292A for initial encounter - BILLABLE CODE

  • Use T41.292D for subsequent encounter - BILLABLE CODE

  • Use T41.292S for sequela - BILLABLE CODE

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Intentional ketamine overdose
  • Intentional ketamine poisoning
  • Intentional propofol overdose
  • Intentional propofol poisoning
  • Ketamine overdose
  • Poisoning by ketamine
  • Poisoning by ketamine
  • Propofol overdose
  • Propofol poisoning
  • Propofol poisoning

Clinical Information

  • Ketamine

    a cyclohexanone derivative used for induction of anesthesia. its mechanism of action is not well understood, but ketamine can block nmda receptors (receptors, n-methyl-d-aspartate) and may interact with sigma receptors.
  • Propanidid

    an intravenous anesthetic that has been used for rapid induction of anesthesia and for maintenance of anesthesia of short duration. (from martindale, the extra pharmacopoeia, 30th ed, p918)
  • Propofol

    an intravenous anesthetic agent which has the advantage of a very rapid onset after infusion or bolus injection plus a very short recovery period of a couple of minutes. (from smith and reynard, textbook of pharmacology, 1992, 1st ed, p206). propofol has been used as anticonvulsants and antiemetics.
  • Propofol Infusion Syndrome

    rare and often fatal drug complication which affects patients undergoing long-term treatment with high doses of propofol. it is characterized by metabolic acidosis; hyperlipidemia; rhabdomyolysis; cardiovascular circulatory collapse; cardiac failure; and kidney failure.
  • Tiletamine

    proposed anesthetic with possible anticonvulsant and sedative properties.

Coding Guidelines

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 anesthetics and therapeutic gases (T41). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Table of Drugs and Chemicals

The 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-CM 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.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
(self-harm)
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
CyclopropaneT41.291T41.292T41.293T41.294T41.295T41.296
DisoprofolT41.291T41.292T41.293T41.294T41.295T41.296
KetamineT41.291T41.292T41.293T41.294T41.295T41.296
MinaxoloneT41.291T41.292T41.293T41.294T41.295T41.296
Oxybate sodiumT41.291T41.292T41.293T41.294T41.295T41.296
PropanididT41.291T41.292T41.293T41.294T41.295T41.296
PropofolT41.291T41.292T41.293T41.294T41.295T41.296
TiletamineT41.291T41.292T41.293T41.294T41.295T41.296
Tribromoethanol, rectalT41.291T41.292T41.293T41.294T41.295T41.296

Patient Education


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.


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Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.