2024 ICD-10-CM Diagnosis Code T46.0X3A

Poisoning by cardiac-stimulant glycosides and drugs of similar action, assault, initial encounter

ICD-10-CM Code:
T46.0X3A
ICD-10 Code for:
Poisn by cardi-stim glycos/drug simlar act, assault, 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)

T46.0X3A is a billable diagnosis code used to specify a medical diagnosis of poisoning by cardiac-stimulant glycosides and drugs of similar action, assault, 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.

T46.0X3A 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 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.

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: intent of injury, assaultEXT022N - 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 T46.0X3A 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: E962.0 - Assault-pois w medic 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 T46.0X3 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


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.


[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.