2024 ICD-10-CM Diagnosis Code T51.0X3A

Toxic effect of ethanol, assault, initial encounter

ICD-10-CM Code:
T51.0X3A
ICD-10 Code for:
Toxic effect of ethanol, assault, initial encounter
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)
    • Toxic effects of substances chiefly nonmedicinal as to source
      (T51-T65)
      • Toxic effect of alcohol
        (T51)

T51.0X3A is a billable diagnosis code used to specify a medical diagnosis of toxic effect of ethanol, 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.

T51.0X3A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like toxic effect of ethanol 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 non-drugEXT015N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Toxic effects, initial encounterINJ023Y - 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

  • Absinthe

    an extract of absinthium and other bitter herbs, containing 60% alcohol. prolonged ingestion causes nervousness, convulsions, trismus, amblyopia, optic neuritis, and mental deterioration. (dorland, 27th ed)
  • Alcohol Abstinence

    non-consumption of alcoholic beverages.
  • Alcohol-Induced Disorders, Nervous System

    acute and chronic neurologic disorders associated with the various neurologic effects of ethanol. primary sites of injury include the brain and peripheral nerves.
  • Alcoholism

    a primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. the disease is often progressive and fatal. it is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial. each of these symptoms may be continuous or periodic. (morse & flavin for the joint commission of the national council on alcoholism and drug dependence and the american society of addiction medicine to study the definition and criteria for the diagnosis of alcoholism: in jama 1992;268:1012-4)
  • Darunavir

    an hiv protease inhibitor that is used in the treatment of aids and hiv infections. due to the emergence of antiviral drug resistance when used alone, it is administered in combination with other anti-hiv agents.
  • Ethanol

    a clear, colorless liquid rapidly absorbed from the gastrointestinal tract and distributed throughout the body. it has bactericidal activity and is used often as a topical disinfectant. it is widely used as a solvent and preservative in pharmaceutical preparations as well as serving as the primary ingredient in alcoholic beverages.
  • Ethanolamine

    a viscous, hygroscopic amino alcohol with an ammoniacal odor. it is widely distributed in biological tissue and is a component of lecithin. it is used as a surfactant, fluorimetric reagent, and to remove co2 and h2s from natural gas and other gases.
  • Ethanolamine Ammonia-Lyase

    an enzyme that catalyzes the deamination of ethanolamine to acetaldehyde. ec 4.3.1.7.
  • Ethanolaminephosphotransferase

    an enzyme that catalyzes reversibly the transfer of phosphoethanolamine from cdp-ethanolamine to diacylglycerol to yield phosphatidylethanolamine (cephalin) and cmp. the enzyme is found in the endoplasmic reticulum. ec 2.7.8.1.
  • Ethanolamines

    amino alcohols containing the ethanolamine; (-nh2ch2choh) group and its derivatives.
  • Phosphatidylethanolamines

    derivatives of phosphatidic acids in which the phosphoric acid is bound in ester linkage to an ethanolamine moiety. complete hydrolysis yields 1 mole of glycerol, phosphoric acid and ethanolamine and 2 moles of fatty acids.
  • Quetiapine Fumarate

    a dibenzothiazepine and antipsychotic agent that targets the serotonin 5-ht2 receptor; histamine h1 receptor, adrenergic alpha1 and alpha2 receptors, as well as the dopamine d1 receptor and dopamine d2 receptor. it is used in the treatment of schizophrenia; bipolar disorder and depressive disorder.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Toxic effect of alcohol (T51). Use the following options for the aplicable episode of care:

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

Convert T51.0X3A to ICD-9-CM

  • ICD-9-CM Code: 980.0 - Toxic eff ethyl alcohol
    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: E962.1 - Assault-pois w solid/liq
    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 T51.0X3 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
AbsintheT51.0X1T51.0X2T51.0X3T51.0X4  
Absinthe
  »beverage
T51.0X1T51.0X2T51.0X3T51.0X4  
Denatured alcoholT51.0X1T51.0X2T51.0X3T51.0X4  
EthanolT51.0X1T51.0X2T51.0X3T51.0X4  
Ethanol
  »beverage
T51.0X1T51.0X2T51.0X3T51.0X4  
Grain alcoholT51.0X1T51.0X2T51.0X3T51.0X4  
IndustrialT51.0X1T51.0X2T51.0X3T51.0X4  
Industrial
  »alcohol
T51.0X1T51.0X2T51.0X3T51.0X4  
Industrial
  »fumes
T51.0X1T51.0X2T51.0X3T51.0X4  
Industrial
  »solvents (fumes) (vapors)
T51.0X1T51.0X2T51.0X3T51.0X4  
Neutral spiritsT51.0X1T51.0X2T51.0X3T51.0X4  
Neutral spirits
  »beverage
T51.0X1T51.0X2T51.0X3T51.0X4  
Spirit (s) (neutral) NECT51.0X1T51.0X2T51.0X3T51.0X4  
Spirit (s) (neutral) NEC
  »beverage
T51.0X1T51.0X2T51.0X3T51.0X4  
Spirit (s) (neutral) NEC
  »industrial
T51.0X1T51.0X2T51.0X3T51.0X4  
Spirit (s) (neutral) NEC
  »mineral
T51.0X1T51.0X2T51.0X3T51.0X4  
Spirit (s) (neutral) NEC
  »of salt
T51.0X1T51.0X2T51.0X3T51.0X4  
Spirit (s) (neutral) NEC
  »surgical
T51.0X1T51.0X2T51.0X3T51.0X4  

Patient Education


Alcohol

If you are like many Americans, you drink alcohol at least occasionally. For many people, moderate drinking is probably safe. But drinking less is better for your health than drinking more. And there are some people who should not drink at all.

Because drinking too much can be harmful, it's important to know how alcohol affects you and how much is too much.

How does alcohol affect the body?

Alcohol is a central nervous system depressant. This means that it is a drug that slows down brain activity. It can change your mood, behavior, and self-control. It can cause problems with memory and thinking clearly. Alcohol can also affect your coordination and physical control.

Alcohol also has effects on the other organs in your body. For example, it can raise your blood pressure and heart rate. If you drink too much at once, it could make you throw up.

Why are the effects of alcohol different from person to person?

Alcohol's effects vary from person to person, depending on a variety of factors, including:

  • How much you drank
  • How quickly you drank it
  • The amount of food you ate before drinking
  • Your age
  • Your sex
  • Your race or ethnicity
  • Your physical condition
  • Whether or not you have a family history of alcohol problems

What is moderate drinking?

  • For most women, moderate drinking is no more than one standard drink a day
  • For most men, moderate drinking is no more than two standard drinks a day

Even though moderate drinking may be safe for many people, there are still risks. Moderate drinking can raise the risk of death from certain cancers and heart diseases.

What is a standard drink?

In the United States, a standard drink is one that contains about 14 grams of pure alcohol, which is found in:

  • 12 ounces of beer (5% alcohol content)
  • 5 ounces of wine (12% alcohol content)
  • 1.5 ounces or a "shot" of distilled spirits or liquor (40% alcohol content)

Who should not drink alcohol?

Some people should not drink alcohol at all, including those who:

  • Are recovering from an alcohol use disorder (AUD) or are unable to control the amount they drink
  • Are under age 21
  • Are pregnant or trying to become pregnant
  • Are taking medicines that can interact with alcohol
  • Have medical conditions that get can worse if you drink alcohol
  • Are planning on driving
  • Will be operating machinery

If you have questions about whether it is safe for you to drink, talk with your health care provider.

What is excessive drinking?

Excessive drinking includes binge drinking and heavy alcohol use:

  • Binge drinking is drinking so much at once that your blood alcohol concentration (BAC) level is 0.08% or more. For a man, this usually happens after having 5 or more drinks within a few hours. For a woman, it is after about 4 or more drinks within a few hours.
  • Heavy alcohol use is having having more than 4 drinks on any day for men or more than 3 drinks for women

Binge drinking raises your risk of injuries, car crashes, and alcohol poisoning. It also puts you of becoming violent or being the victim of violence.

Heavy alcohol use over a long period of time may cause health problems such as:

  • Alcohol use disorder
  • Liver diseases, including cirrhosis and fatty liver disease
  • Heart diseases
  • Increased risk for certain cancers
  • Increased risk of injuries

Heavy alcohol use can also cause problems at home, at work, and with friends. But treatment can help.

NIH: National Institute on Alcohol Abuse and Alcoholism


[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.