2024 ICD-10-CM Diagnosis Code T46.0X1A

Poisoning by cardiac-stimulant glycosides and drugs of similar action, accidental (unintentional), initial encounter

ICD-10-CM Code:
T46.0X1A
ICD-10 Code for:
Poisoning by cardi-stim glycos/drug simlar act, acc, init
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 agents primarily affecting the cardiovascular system
        (T46)

T46.0X1A is a billable diagnosis code used to specify a medical diagnosis of poisoning by cardiac-stimulant glycosides and drugs of similar action, accidental (unintentional), initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

T46.0X1A 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 cardiac-stimulant glycosides and drugs of similar action accidental (unintentional). 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.

Approximate Synonyms

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

  • Accidental digoxin poisoning
  • Accidental overdose of digoxin
  • Accidental poisoning caused by squill and/or squill derivative
  • Cardiac inotropic agent overdose
  • Cardiac inotropic agent overdose
  • Cardiac inotropic agent overdose
  • Class IV antiarrhythmic overdose
  • Class IV antiarrhythmic overdose
  • Digitalis toxicity by EKG
  • Digoxin overdose
  • Overdose of Digitalis glycoside
  • Poisoning by Digitalis glycoside
  • Poisoning by Digitalis glycoside
  • Poisoning by Digitalis glycoside
  • Poisoning by Digitalis glycoside
  • Poisoning by Digitalis glycoside
  • Poisoning by digoxin
  • Strophanthin poisoning

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: intent of injury, accidental/unintentionalEXT020N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
External cause codes: poisoning by drugEXT014N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Poisoning by drugs, initial encounterINJ022Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Deslanoside

    deacetyllanatoside c. a cardiotonic glycoside from the leaves of digitalis lanata.
  • Acetyldigitoxins

    cardioactive derivatives of lanatoside a or of digitoxin. they are used for fast digitalization in congestive heart failure.
  • Digitoxin

    a cardiac glycoside sometimes used in place of digoxin. it has a longer half-life than digoxin; toxic effects, which are similar to those of digoxin, are longer lasting. (from martindale, the extra pharmacopoeia, 30th ed, p665)
  • Acetyldigoxins

    alpha- or beta-acetyl derivatives of digoxin or lanatoside c from digitalis lanata. they are better absorbed and longer acting than digoxin and are used in congestive heart failure.
  • Digoxin

    a cardiotonic glycoside obtained mainly from digitalis lanata; it consists of three sugars and the aglycone digoxigenin. digoxin has positive inotropic and negative chronotropic activity. it is used to control ventricular rate in atrial fibrillation and in the management of congestive heart failure with atrial fibrillation. its use in congestive heart failure and sinus rhythm is less certain. the margin between toxic and therapeutic doses is small. (from martindale, the extra pharmacopoeia, 30th ed, p666)
  • Lanatosides

    glycosides from digitalis lanata leaf. lanatoside c has actions similar to digoxin. mixtures of lanatosides a, b, and c have also been used. (from martindale, the extra pharmacopoeia, 30th ed, p670)
  • Proscillaridin

    a cardiotonic glycoside isolated from scilla maritima var. alba (squill).
  • Strophanthus

    a plant genus of the family apocynaceae that contains ouabain cardiac glycosides.

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 agents primarily affecting the cardiovascular system (T46). Use the following options for the aplicable episode of care:

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

Convert T46.0X1A to ICD-9-CM

  • ICD-9-CM Code: 972.1 - Poisoning-cardiotonics
    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: E858.3 - Acc poisn-cardiovasc agt
    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 T46.0X1 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
AcetyldigitoxinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
AcetyldigoxinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
AlphaT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Alpha
  »acetyldigoxin
T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Alpha
  »adrenergic blocking drug
T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Alpha
  »amylase
T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Alpha
  »tocoferol (acetate)
T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Alpha
  »tocopherol
T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
b-acetyldigoxinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Cardiotonic (glycoside) NECT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
CerberinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Ch'an suT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Convallaria glycosidesT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Crataegus extractT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
CymarinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
DeslanosideT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Digitalin (e)T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Digitalis (leaf) (glycoside)T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Digitalis (leaf) (glycoside)
  »lanata
T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Digitalis (leaf) (glycoside)
  »purpurea
T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
DigitoxinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
DigitoxoseT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
DigoxinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
DigoxineT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
GitalinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Gitalin
  »amorphous
T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
GitaloxinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
GitoxinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Glycoside, cardiac (stimulant)T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
LanatosidesT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
MeproscillarinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
MetildigoxinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
OleandrinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Ouabain (e)T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
PengitoxinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
PeruvosideT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
ProscillaridinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
SquillT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Squill
  »rat poison
T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
StrofantinaT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Strophanthin (g) (k)T46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
StrophanthusT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
StrophantinT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6
Strophantin-gT46.0X1T46.0X2T46.0X3T46.0X4T46.0X5T46.0X6

Patient Education


Medication Errors

Medicines treat infectious diseases, prevent problems from chronic diseases, and ease pain. But medicines can also cause harmful reactions if not used correctly. Errors can happen in the hospital, at the health care provider's office, at the pharmacy, or at home. You can help prevent errors by:

  • Knowing your medicines. When you get a prescription, ask the name of the medicine and check to make sure that the pharmacy gave you the right medicine. Make sure that you understand how often you should take the medicine and how long you should take it.
  • Keeping a list of medicines.
    • Write down all of the medicines that you are taking, including the names of your medicines, how much you take, and when you take them. Make sure to include any over-the-counter medicines, vitamins, supplements, and herbs that you take.
    • List the medicines that you are allergic to or that have caused you problems in the past.
    • Take this list with you every time you see a health care provider.
  • Reading medicine labels and following the directions. Don't just rely on your memory - read the medication label every time. Be especially careful when giving medicines to children.
  • Asking questions. If you don't know the answers to these questions, ask your health care provider or pharmacist:
    • Why am I taking this medicine?
    • What are the common side effects?
    • What should I do if I have side effects?
    • When should I stop this medicine?
    • Can I take this medicine with the other medicines and supplements on my list?
    • Do I need to avoid certain foods or alcohol while taking this medicine?

Food and Drug Administration


[Learn More in MedlinePlus]

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.