2022 ICD-10-CM Code T55.0X3D
Toxic effect of soaps, assault, subsequent encounter
Code Classification
T55.0X3D is a billable diagnosis code used to specify a medical diagnosis of toxic effect of soaps, assault, subsequent encounter. The code T55.0X3D is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
T55.0X3D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like toxic effect of soaps assault. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Coding Guidelines
The appropriate 7th character is to be added to each code from block Toxic effect of soaps and detergents (T55). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code T55.0X3D is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
Present on Admission (POA)
T55.0X3D 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 Code | POA 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 T55.0X3D to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code T55.0X3D its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- V58.89 - Other specfied aftercare (Approximate Flag)
Table of Drugs and Chemicals
The parent code T55.0X3 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 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 |
---|---|---|---|---|---|---|
Shampoo | T55.0X1 | T55.0X2 | T55.0X3 | T55.0X4 | ||
Soap (powder) (product) | T55.0X1 | T55.0X2 | T55.0X3 | T55.0X4 | ||
Soap (powder) (product) »enema | T55.0X1 | T55.0X2 | T55.0X3 | T55.0X4 | ||
Soap (powder) (product) »medicinal, soft | T55.0X1 | T55.0X2 | T55.0X3 | T55.0X4 | ||
Soap (powder) (product) »superfatted | T55.0X1 | T55.0X2 | T55.0X3 | T55.0X4 | ||
Soft soap | T55.0X1 | T55.0X2 | T55.0X3 | T55.0X4 |
Information for Patients
Household Products
The products you use for cleaning, carpentry, auto repair, gardening, and many other household uses can contain ingredients that can harm you, your family, and the environment. These include
- Oven and drain cleaners
- Cleaning and disinfecting products, including bleach and antibacterial cleaners
- Laundry powder
- Floor polish
- Paint thinners, strippers, and removers
- Pesticides
- Grease and rust removers
- Motor oil and fuel additives
- Arts and craft supplies
Toxic substances in these products can cause harm if inhaled, swallowed, or absorbed through the skin. People respond to toxic substances in different ways. At high doses, a toxic substance might cause birth defects or other serious problems, including brain damage or death.
To avoid problems, keep products in the containers they come in and use them exactly as the label says. Follow label directions or get medical help if you swallow or inhale them or get them on your skin.
Environmental Protection Agency
[Learn More in MedlinePlus]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
T55 | Toxic effect of soaps and detergents | NON-BILLABLE CODE |
T55.0 | Toxic effect of soaps | NON-BILLABLE CODE |
T55.0X | Toxic effect of soaps | NON-BILLABLE CODE |
T55.0X1 | Toxic effect of soaps, accidental (unintentional) | NON-BILLABLE CODE |
T55.0X1A | Toxic effect of soaps, accidental (unintentional), initial encounter | BILLABLE CODE |
T55.0X1D | Toxic effect of soaps, accidental (unintentional), subsequent encounter | BILLABLE CODE |
T55.0X1S | Toxic effect of soaps, accidental (unintentional), sequela | BILLABLE CODE |
T55.0X2 | Toxic effect of soaps, intentional self-harm | NON-BILLABLE CODE |
T55.0X2A | Toxic effect of soaps, intentional self-harm, initial encounter | BILLABLE CODE |
T55.0X2D | Toxic effect of soaps, intentional self-harm, subsequent encounter | BILLABLE CODE |
T55.0X2S | Toxic effect of soaps, intentional self-harm, sequela | BILLABLE CODE |
T55.0X3 | Toxic effect of soaps, assault | NON-BILLABLE CODE |
T55.0X3A | Toxic effect of soaps, assault, initial encounter | BILLABLE CODE |
T55.0X3S | Toxic effect of soaps, assault, sequela | BILLABLE CODE |
T55.0X4 | Toxic effect of soaps, undetermined | NON-BILLABLE CODE |
T55.0X4A | Toxic effect of soaps, undetermined, initial encounter | BILLABLE CODE |
T55.0X4D | Toxic effect of soaps, undetermined, subsequent encounter | BILLABLE CODE |
T55.0X4S | Toxic effect of soaps, undetermined, sequela | BILLABLE CODE |
T55.1 | Toxic effect of detergents | NON-BILLABLE CODE |
T55.1X | Toxic effect of detergents | NON-BILLABLE CODE |
T55.1X1 | Toxic effect of detergents, accidental (unintentional) | NON-BILLABLE CODE |
T55.1X1A | Toxic effect of detergents, accidental (unintentional), initial encounter | BILLABLE CODE |
T55.1X1D | Toxic effect of detergents, accidental (unintentional), subsequent encounter | BILLABLE CODE |
T55.1X1S | Toxic effect of detergents, accidental (unintentional), sequela | BILLABLE CODE |
T55.1X2 | Toxic effect of detergents, intentional self-harm | NON-BILLABLE CODE |
T55.1X2A | Toxic effect of detergents, intentional self-harm, initial encounter | BILLABLE CODE |
T55.1X2D | Toxic effect of detergents, intentional self-harm, subsequent encounter | BILLABLE CODE |
T55.1X2S | Toxic effect of detergents, intentional self-harm, sequela | BILLABLE CODE |
T55.1X3 | Toxic effect of detergents, assault | NON-BILLABLE CODE |
T55.1X3A | Toxic effect of detergents, assault, initial encounter | BILLABLE CODE |
T55.1X3D | Toxic effect of detergents, assault, subsequent encounter | BILLABLE CODE |
T55.1X3S | Toxic effect of detergents, assault, sequela | BILLABLE CODE |
T55.1X4 | Toxic effect of detergents, undetermined | NON-BILLABLE CODE |
T55.1X4A | Toxic effect of detergents, undetermined, initial encounter | BILLABLE CODE |
T55.1X4D | Toxic effect of detergents, undetermined, subsequent encounter | BILLABLE CODE |
T55.1X4S | Toxic effect of detergents, undetermined, sequela | BILLABLE CODE |
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)