2026 ICD-10-CM Diagnosis Code T51.91XAToxic effect of unspecified alcohol, accidental (unintentional), initial encounter
T51.91XA is a billable ICD-10-CM diagnosis code for toxic effect of unspecified alcohol, accidental (unintentional), initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 917 through 918. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under External cause codes: intent of injury, accidental/unintentional; External cause codes: poisoning by non-drug; and Toxic effects, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Accidental poisoning by substance with alcohol structure
- Adverse reaction to substance with alcohol structure
- Alcohol related optic neuropathy
- Alcoholic coma
- Alcohol-related sideroblastic anemia
- Diarrhea caused by alcohol intake
- Diarrhea caused by drug
- Drug-induced coma
- Drug-induced sideroblastic anemia
- Exposure to alcohol
- Malabsorption caused by drug
- Non-infective diarrhea
- Secondary acquired sideroblastic anemia
- Toxic effect of substance with alcohol structure
- Toxic optic neuropathy
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Toxic effect of alcohol (T51). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Toxic Optic Neuropathy
damage to the eye or its function (e.g., visual impairment) due to optic nerve damage secondary to toxic substances such as drugs used in chemotherapy; immunotherapy; or radiation.
Table of Drugs and ChemicalsClinical
Substances in the Table of Drugs and Chemicals that reference this code family. Always confirm in the Tabular List before coding.
| Substance | Accidental | Self-harm | Assault | Undetermined | Adverse Effect | Underdosing |
|---|---|---|---|---|---|---|
| Alcohol | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::absolute | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::absolute::beverage | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::allyl | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::amyl | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::antifreeze | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::beverage | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::butyl | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::dehydrated | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::dehydrated::beverage | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::denatured | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::deterrent NEC | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::diagnostic (gastric function) | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::ethyl | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::ethyl::beverage | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::grain | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::grain::beverage | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::industrial | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::isopropyl | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::methyl | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::preparation for consumption | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::propyl | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::propyl::secondary | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::radiator | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::rubbing | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::specified type NEC | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::surgical | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::vapor (from any type of Alcohol) | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
| Alcohol::wood | T51.91 | T51.92 | T51.93 | T51.94 | – | – |
Convert T51.91XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T51.91XAOverview
Is T51.91XA a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report toxic effect of unspecified alcohol, accidental (unintentional), initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T51.91XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for toxic effect of unspecified alcohol, accidental (unintentional), such as an emergency visit or first evaluation.
What MS-DRG does T51.91XA group to?
When toxic effect of unspecified alcohol, accidental (unintentional), initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 917, 918, with relative weights from 0.8571 to 1.5684 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of T51.91XA?
Under the General Equivalence Mappings, toxic effect of unspecified alcohol, accidental (unintentional), initial encounter converts to ICD-9-CM 980.9 (toxic effect alcohol NOS) and E860.9 (acc poison-alcohol NOS). The mapping is approximate, so confirm the match fits the documentation.
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.
