2026 ICD-10-CM Diagnosis Code T57.0X2AToxic effect of arsenic and its compounds, intentional self-harm, initial encounter
T57.0X2A is a billable ICD-10-CM diagnosis code for toxic effect of arsenic and its compounds, intentional self-harm, 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. Coders also document this condition as self poisoning caused by arsenic and/or arsenic compound. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under External cause codes: intent of injury, self-harm; External cause codes: poisoning by non-drug; and Suicidal ideation/attempt/intentional self-harm.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Self poisoning caused by arsenic and/or arsenic compound
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 T57.0X2A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T57.0X2AOverview
Is T57.0X2A a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report toxic effect of arsenic and its compounds, intentional self-harm, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T57.0X2A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for toxic effect of arsenic and its compounds, intentional self-harm, such as an emergency visit or first evaluation.
What MS-DRG does T57.0X2A group to?
When toxic effect of arsenic and its compounds, intentional self-harm, 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 T57.0X2A?
Under the General Equivalence Mappings, toxic effect of arsenic and its compounds, intentional self-harm, initial encounter converts to ICD-9-CM 985.1 (toxic effect arsenic) and E950.8 (poison-arsenic). 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.
