2024 ICD-10-CM Diagnosis Code T50.8X3S
Poisoning by diagnostic agents, assault, sequela
- ICD-10-CM Code:
- T50.8X3S
- ICD-10 Code for:
- Poisoning by diagnostic agents, assault, sequela
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
T50.8X3S is a billable diagnosis code used to specify a medical diagnosis of poisoning by diagnostic agents, assault, 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.
T50.8X3S 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 diagnostic agents assault. 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.
Clinical Classification
Clinical Category is Poisoning/toxic effect/adverse effects/underdosing, sequela
- CCSR Category Code: INJ075
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Acetrizoic Acid
an iodinated radiographic contrast medium used as acetrizoate sodium in hysterosalpingography.Betazole
a histamine h2 agonist used clinically to test gastric secretory function.Ceruletide
a specific decapeptide obtained from the skin of hila caerulea, an australian amphibian. caerulein is similar in action and composition to cholecystokinin. it stimulates gastric, biliary, and pancreatic secretion; and certain smooth muscle. it is used in paralytic ileus and as diagnostic aid in pancreatic malfunction.Cholecystokinin
a peptide, of about 33 amino acids, secreted by the upper intestinal mucosa and also found in the central nervous system. it causes gallbladder contraction, release of pancreatic exocrine (or digestive) enzymes, and affects other gastrointestinal functions. cholecystokinin may be the mediator of satiety.Receptor, Cholecystokinin A
a subtype of cholecystokinin receptor found primarily in the pancreas; stomach; intestine; and gallbladder. it plays a role in regulating digestive functions such as gallbladder contraction, pancreatic enzyme secretion and absorption in the gastrointestinal tract.Receptor, Cholecystokinin B
a subtype of cholecystokinin receptor found primarily in the central nervous system and the gastric mucosa. it may play a role as a neuromodulator of dopaminergic neurotransmission the regulation of gastric acid secretion from gastric parietal cells.Receptors, Cholecystokinin
cell surface proteins that bind cholecystokinin (cck) with high affinity and trigger intracellular changes influencing the behavior of cells. cholecystokinin receptors are activated by gastrin as well as by cck-4; cck-8; and cck-33. activation of these receptors evokes secretion of amylase by pancreatic acinar cells, acid and pepsin by stomach mucosal cells, and contraction of the pylorus and gallbladder. the role of the widespread cck receptors in the central nervous system is not well understood.Sincalide
an octapeptide hormone present in the intestine and brain. when secreted from the gastric mucosa, it stimulates the release of bile from the gallbladder and digestive enzymes from the pancreas.Tetragastrin
l-tryptophyl-l-methionyl-l-aspartyl-l-phenylalaninamide. the c-terminal tetrapeptide of gastrin. it is the smallest peptide fragment of gastrin which has the same physiological and pharmacological activity as gastrin.Coccidioidin
a sterile solution containing the by-products of growth products of coccidioides immitis, injected intracutaneously as a test for coccidioidomycosis.Congo Red
an acid dye used in testing for hydrochloric acid in gastric contents. it is also used histologically to test for amyloidosis.Diatrizoate
a commonly used x-ray contrast medium. as diatrizoate meglumine and as diatrizoate sodium, it is used for gastrointestinal studies, angiography, and urography.Diatrizoate Meglumine
a versatile contrast medium used for diagnostic x-ray radiology.Evans Blue
an azo dye used in blood volume and cardiac output measurement by the dye dilution method. it is very soluble, strongly bound to plasma albumin, and disappears very slowly.Fluorescein
a phthalic indicator dye that appears yellow-green in normal tear film and bright green in a more alkaline medium such as the aqueous humor.Fluorescein Angiography
visualization of a vascular system after intravenous injection of a fluorescein solution. the images may be photographed or televised. it is used especially in studying the retinal and uveal vasculature.Fluorescein-5-isothiocyanate
fluorescent probe capable of being conjugated to tissue and proteins. it is used as a label in fluorescent antibody staining procedures as well as protein- and amino acid-binding techniques.Fluoresceins
a family of spiro(isobenzofuran-1(3h),9'-(9h)xanthen)-3-one derivatives. these are used as dyes, as indicators for various metals, and as fluorescent labels in immunoassays.Histoplasmin
Indigo Carmine
indolesulfonic acid used as a dye in renal function testing for the detection of nitrates and chlorates, and in the testing of milk.Indocyanine Green
a tricarbocyanine dye that is used diagnostically in liver function tests and to determine blood volume and cardiac output.Inulin
a starch found in the tubers and roots of many plants. since it is hydrolyzable to fructose, it is classified as a fructosan. it has been used in physiologic investigation for determination of the rate of glomerular function.Iodamide
an ionic monomeric contrast medium. (from martindale, the extra pharmacopoeia, 30th ed, p706)Iodipamide
a water-soluble radiographic contrast media for cholecystography and intravenous cholangiography.Iodohippuric Acid
an iodine-containing compound used in pyelography as a radiopaque medium. if labeled with radioiodine, it can be used for studies of renal function.Iodopyracet
an ionic monomeric contrast medium that was formerly used for a variety of diagnostic procedures. (from martindale, the extra pharmacopoeia, 30th ed, p706)Ioglycamic Acid
a radiopaque medium. it is a mixture of its meglumine and sodium salts and is used to visualize the biliary tract.Iohexol
an effective non-ionic, water-soluble contrast agent which is used in myelography, arthrography, nephroangiography, arteriography, and other radiographic procedures. its low systemic toxicity is the combined result of low chemotoxicity and low osmolality.Iopamidol
a non-ionic, water-soluble contrast agent which is used in myelography, arthrography, nephroangiography, arteriography, and other radiological procedures.Iopanoic Acid
radiopaque medium used as diagnostic aid.Ioxaglic Acid
a low-osmolar, ionic contrast medium used in various radiographic procedures.Metrizamide
a solute for density gradient centrifugation offering higher maximum solution density without the problems of increased viscosity. it is also used as a resorbable, non-ionic contrast medium.Metrizoic Acid
a diagnostic radiopaque that usually occurs as the sodium salt.Metyrapone
an inhibitor of the enzyme steroid 11-beta-monooxygenase. it is used as a test of the feedback hypothalamic-pituitary mechanism in the diagnosis of cushing syndrome.Pentagastrin
a synthetic pentapeptide that has effects like gastrin when given parenterally. it stimulates the secretion of gastric acid, pepsin, and intrinsic factor, and has been used as a diagnostic aid.Phenolsulfonphthalein
red dye, ph indicator, and diagnostic aid for determination of renal function. it is used also for studies of the gastrointestinal and other systems.Propyliodone
radiopaque medium usually in oil; used in bronchography.Enteroendocrine Cells
cells found throughout the lining of the gastrointestinal tract that contain and secrete regulatory peptide hormones and/or biogenic amines.Secretin
a peptide hormone of about 27 amino acids from the duodenal mucosa that activates pancreatic secretion and lowers the blood sugar level. (usan and the usp dictionary of drug names, 1994, p597)Tyropanoate
a diagnostic aid as a radiopaque medium in cholecystography.
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 diuretics and other and unspecified drugs, medicaments and biological substances (T50). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Present on Admission (POA)
T50.8X3S 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 Indicator | Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert T50.8X3S 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: E969 - Late effect assault
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 T50.8X3 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.
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.