2026 ICD-10-CM Diagnosis Code T57.0X1SToxic effect of arsenic and its compounds, accidental (unintentional), sequela
T57.0X1S is a billable ICD-10-CM diagnosis code for toxic effect of arsenic and its compounds, accidental (unintentional), sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 922 through 923. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Poisoning/toxic effect/adverse effects/underdosing, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
T57.0X1S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Accidental exposure to arsenic compounds
- Accidental exposure to arsine
- Accidental exposure to trivalent arsenic compound
- Accidental poisoning by arsenic fumes
- Adverse reaction to arsenic and/or arsenic compound
- Anemia caused by arsenic hydride
- Arsanilic acid poisoning
- Arsenic encephalopathy
- Arsenical tremor
- Arsenic-induced nail damage
- Arsenic-induced rain-drop hypomelanosis
- Arsine poisoning
- Inorganic arsenic poisoning
- Lewisite poisoning
- Malignant neoplasm of skin caused by arsenic
- Nail damage caused by chemical agents
- Nail damage from external agent
- Organic arsenic poisoning
- Pentavalent arsenic compound causing toxic effect
- Skin disease caused by arsenic
- Skin sign from acute arsenic toxicity
- Toxic effect of arsenic and/or arsenic compound
- Toxicoderma
- Trivalent arsenic compound causing toxic effect
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Toxic effect of other inorganic substances (T57). 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.
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 |
|---|---|---|---|---|---|---|
| Arsenate of lead | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Arsenate of lead::herbicide | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Arsenic, arsenicals (compounds) (dust) (vapor) NEC | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Arsenic, arsenicals (compounds) (dust) (vapor) NEC::anti-infectives | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Arsenic, arsenicals (compounds) (dust) (vapor) NEC::pesticide (dust) (fumes) | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Arsine (gas) | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Cacodyl, cacodylic acid | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Chlorovinyldichloro-arsine, not in war | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::arsine, arsinic acid | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::carbinol | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::carbonate | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::diguanide | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::ketone | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::ketone::vapor | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::meperidine | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::parathion | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::phthlate | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::polysiloxane | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::sulfate (fumes) | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::sulfate (fumes)::liquid | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::sulfoxide (nonmedicinal) | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::sulfoxide (nonmedicinal)::medicinal | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::tryptamine | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Dimethyl::tubocurarine | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Diphenylchloroarsine, not in war | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Fowler's solution | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Lewisite (gas), not in war | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Paris green | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Paris green::insecticide | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Realgar | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Scheele's green | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Scheele's green::insecticide | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Schweinfurth green | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Schweinfurth green::insecticide | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Trioxide of arsenic | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Vienna | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Vienna::green | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Vienna::green::insecticide | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Vienna::red | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| Vienna::red::pharmaceutical dye | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| White | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| White::arsenic | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| White::hellebore | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| White::lotion (keratolytic) | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
| White::spirit | T57.0X1 | T57.0X2 | T57.0X3 | T57.0X4 | – | – |
Patient EducationClinical
Arsenic
Arsenic is a natural element found in soil and minerals. Arsenic compounds are used to preserve wood, as pesticides, and in some industries. Arsenic can get into air, water, and the ground from wind-blown dust. It may also get into water from runoff.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert T57.0X1S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T57.0X1SOverview
Is T57.0X1S a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report toxic effect of arsenic and its compounds, accidental (unintentional), sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in T57.0X1S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the toxic effect of arsenic and its compounds, accidental (unintentional) itself has resolved, not the original event.
What MS-DRG does T57.0X1S group to?
When toxic effect of arsenic and its compounds, accidental (unintentional), sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 922, 923, with relative weights from 1.0177 to 1.7494 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T57.0X1S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for toxic effect of arsenic and its compounds, accidental (unintentional), sequela on inpatient claims.
What is the ICD-9 equivalent of T57.0X1S?
Under the General Equivalence Mappings, toxic effect of arsenic and its compounds, accidental (unintentional), sequela converts to ICD-9-CM 909.1 (late eff nonmed substanc). 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.
