2024 ICD-10-CM Diagnosis Code T44.7X2S

Poisoning by beta-adrenoreceptor antagonists, intentional self-harm, sequela

ICD-10-CM Code:
T44.7X2S
ICD-10 Code for:
Poisoning by beta-adrenocpt antagonists, self-harm, sequela
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
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 drugs primarily affecting the autonomic nervous system
        (T44)

T44.7X2S is a billable diagnosis code used to specify a medical diagnosis of poisoning by beta-adrenoreceptor antagonists, intentional self-harm, sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

T44.7X2S 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 beta-adrenoreceptor antagonists intentional self-harm. 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.

Approximate Synonyms

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

  • Atenolol overdose
  • Atenolol poisoning
  • Atenolol poisoning
  • Class II antiarrhythmic overdose
  • Intentional atenolol overdose
  • Intentional atenolol poisoning
  • Intentional overdose of beta-adrenergic blocking drug
  • Intentional practolol poisoning
  • Intentional propranolol overdose
  • Intentional propranolol poisoning
  • Overdose of beta-adrenergic blocking drug
  • Overdose of beta-adrenergic blocking drug
  • Overdose of beta-adrenergic blocking drug
  • Poisoning by practolol
  • Poisoning by propranolol
  • Poisoning by propranolol
  • Propranolol overdose

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Mental and substance use disorders; sequelaMBD034Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Poisoning/toxic effect/adverse effects/underdosing, sequelaINJ075N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Acebutolol

    a cardioselective beta-1 adrenergic antagonist with little effect on the bronchial receptors. the drug has stabilizing and quinidine-like effects on cardiac rhythm, as well as weak inherent sympathomimetic action.
  • Alprenolol

    one of the adrenergic beta-antagonists used as an antihypertensive, anti-anginal, and anti-arrhythmic agent.
  • Atenolol

    a cardioselective beta-1 adrenergic blocker possessing properties and potency similar to propranolol, but without a negative inotropic effect.
  • Betaxolol

    a cardioselective beta-1-adrenergic antagonist with no partial agonist activity.
  • Bisoprolol

    a cardioselective beta-1 adrenergic blocker. it is effective in the management of hypertension and angina pectoris.
  • Bupranolol

    an adrenergic-beta-2 antagonist that has been used for cardiac arrhythmia, angina pectoris, hypertension, glaucoma, and as an antithrombotic.
  • Carteolol

    a beta-adrenergic antagonist used as an anti-arrhythmia agent, an anti-angina agent, an antihypertensive agent, and an antiglaucoma agent.
  • Celiprolol

    a cardioselective beta-1 adrenergic antagonist that has intrinsic sympathomimetic activity. it is used in the management of angina pectoris and hypertension.
  • Metoprolol

    a selective adrenergic beta-1 blocking agent that is commonly used to treat angina pectoris; hypertension; and cardiac arrhythmias.
  • Nadolol

    a non-selective beta-adrenergic antagonist with a long half-life, used in cardiovascular disease to treat arrhythmias, angina pectoris, and hypertension. nadolol is also used for migraine disorders and for tremor.
  • Oxprenolol

    a beta-adrenergic antagonist used in the treatment of hypertension, angina pectoris, arrhythmias, and anxiety.
  • Penbutolol

    a nonselective beta-blocker used as an antihypertensive and an antianginal agent.
  • Pindolol

    a moderately lipophilic beta blocker (adrenergic beta-antagonists). it is non-cardioselective and has intrinsic sympathomimetic actions, but little membrane-stabilizing activity. (from martindale, the extra pharmocopoeia, 30th ed, p638)
  • Practolol

    a beta-1 adrenergic antagonist that has been used in the emergency treatment of cardiac arrythmias.
  • Propranolol

    a widely used non-cardioselective beta-adrenergic antagonist. propranolol has been used for myocardial infarction; arrhythmia; angina pectoris; hypertension; hyperthyroidism; migraine; pheochromocytoma; and anxiety but adverse effects instigate replacement by newer drugs.
  • Sotalol

    an adrenergic beta-antagonist that is used in the treatment of life-threatening arrhythmias.
  • Timolol

    a beta-adrenergic antagonist that is similar in action to propranolol; the levo-isomer is more active. timolol has been proposed as an anti-hypertensive, anti-arrhythmic, anti-angina, and anti-glaucoma agent. it is also used in the treatment of migraine disorders and tremor.

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 drugs primarily affecting the autonomic nervous system (T44). Use the following options for the aplicable episode of care:

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

Present on Admission (POA)

T44.7X2S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T44.7X2S to ICD-9-CM

  • ICD-9-CM Code: 909.0 - Late eff drug poisoning
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
  • ICD-9-CM Code: E959 - Late eff of self-injury
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.

Table of Drugs and Chemicals

The parent code T44.7X2 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-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
AcebutololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
AlprenololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
AtenololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
beta adrenergic blocking agent, heartT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
BetaxololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
BevantololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
BisoprololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
BopindololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
BunitrololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
BupranololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
CarazololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
CarteololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
CeliprololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
EsmololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
IndenololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
InderalT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
MepindololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
MetoprololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
NadololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
OxprenololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
PenbutololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
PindololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
PractololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
PronetalolT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
PropranololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
SotalolT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
TertatololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
TimololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6
TolamololT44.7X1T44.7X2T44.7X3T44.7X4T44.7X5T44.7X6

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.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.