2024 ICD-10-CM Diagnosis Code T59.893A
Toxic effect of other specified gases, fumes and vapors, assault, initial encounter
- ICD-10-CM Code:
- T59.893A
- ICD-10 Code for:
- Toxic effect of oth gases, fumes and vapors, assault, init
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
T59.893A is a billable diagnosis code used to specify a medical diagnosis of toxic effect of other specified gases, fumes and vapors, 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.
T59.893A 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 other specified gases fumes and vapors 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.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Assault by ammonia
- Assault by corrosive substance, except poisoning
- Assault by poisoning
- Assault by poisoning
- Assault by poisoning
- Assault by poisoning by non-pharmaceutical substances
- Assault by poisoning by non-pharmaceutical substances
- Assault by poisoning by non-pharmaceutical substances
- Assault by poisoning with ammonia
- Assault by poisoning with local irritant
- Assault by poisoning with local irritant
- Assault by poisoning with local irritant
- Assault by poisoning with pepper dust
- Assault by poisoning with perfume spray
Clinical Classification
Clinical Category | CCSR Category Code | Inpatient Default CCSR | Outpatient Default CCSR |
---|---|---|---|
External cause codes: intent of injury, assault | EXT022 | N - 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-drug | EXT015 | N - 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 encounter | INJ023 | Y - 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
Bicarbonates
inorganic salts that contain the -hco3 radical. they are an important factor in determining the ph of the blood and the concentration of bicarbonate ions is regulated by the kidney. levels in the blood are an index of the alkali reserve or buffering capacity.Carbamide Peroxide
a urea peroxide compound that is commonly used in tooth whitening agents; topical anti-infective agents, and earwax remover.Comamonadaceae
a family of gram-negative aerobic bacteria in the order burkholderiales, encompassing the acidovorans rrna complex. some species are pathogenic to plants.Deuterium
the stable isotope of hydrogen. it has one neutron and one proton in the nucleus.Deuterium Exchange Measurement
a research technique to measure solvent exposed regions of molecules that is used to provide insight about protein conformation.Dihydroergotoxine
a mixture of three different hydrogenated derivatives of ergotamine: dihydroergocornine; dihydroergocristine; and dihydroergocryptine. dihydroergotoxine has been proposed to be a neuroprotective agent and a nootropic agent. the mechanism of its therapeutic actions is not clear, but it can act as an alpha-adrenergic antagonist and a dopamine agonist. the methanesulfonate salts of this mixture of alkaloids are called ergoloid mesylates.Formate Dehydrogenases
flavoproteins that catalyze reversibly the reduction of carbon dioxide to formate. many compounds can act as acceptors, but the only physiologically active acceptor is nad. the enzymes are active in the fermentation of sugars and other compounds to carbon dioxide and are the key enzymes in obtaining energy when bacteria are grown on formate as the main carbon source. they have been purified from bovine blood. ec 1.2.1.2.H(+)-K(+)-Exchanging ATPase
an enzyme isolated from the gastric mucosa that catalyzes the hydrolysis of atp coupled with the exchange of hydrogen and potassium ions across the cell wall. this enzyme was formerly listed as ec 3.6.1.36.Hydrobromic Acid
hydrobromic acid (hbr). a solution of hydrogen bromide gas in water.Hydrochloric Acid
a strong corrosive acid that is commonly used as a laboratory reagent. it is formed by dissolving hydrogen chloride in water. gastric acid is the hydrochloric acid component of gastric juice.Hydrofluoric Acid
hydrofluoric acid. a solution of hydrogen fluoride in water. it is a colorless fuming liquid which can cause painful burns.Hydrogen
the first chemical element in the periodic table with atomic symbol h, and atomic number 1. protium (atomic weight 1) is by far the most common hydrogen isotope. hydrogen also exists as the stable isotope deuterium (atomic weight 2) and the radioactive isotope tritium (atomic weight 3). hydrogen forms into a diatomic molecule at room temperature and appears as a highly flammable colorless and odorless gas.Hydrogen Bonding
a low-energy attractive force between hydrogen and another element. it plays a major role in determining the properties of water, proteins, and other compounds.Hydrogen Cyanide
hydrogen cyanide (hcn); a toxic liquid or colorless gas. it is found in the smoke of various tobacco products and released by combustion of nitrogen-containing organic materials.Hydrogen Deuterium Exchange-Mass Spectrometry
a mass spectrometry method utilizing hydrogen-deuterium exchange kinetics to study conformational and dynamic changes especially of proteins, such as interactions during ligand binding and allosteric effects during catalysis.Hydrogen Peroxide
a strong oxidizing agent used in aqueous solution as a ripening agent, bleach, and topical anti-infective. it is relatively unstable and solutions deteriorate over time unless stabilized by the addition of acetanilide or similar organic materials.Hydrogen Sulfide
a flammable, poisonous gas with a characteristic odor of rotten eggs. it is used in the manufacture of chemicals, in metallurgy, and as an analytical reagent. (from merck index, 11th ed)Hydrogenase
an enzyme found in bacteria. it catalyzes the reduction of ferredoxin and other substances in the presence of molecular hydrogen and is involved in the electron transport of bacterial photosynthesis.Hydrogenation
addition of hydrogen to a compound, especially to an unsaturated fat or fatty acid. (from stedman, 26th ed)Hydrogen-Ion Concentration
the normality of a solution with respect to hydrogen ions; h+. it is related to acidity measurements in most cases by ph = log 1/2[1/(h+)], where (h+) is the hydrogen ion concentration in gram equivalents per liter of solution. (mcgraw-hill dictionary of scientific and technical terms, 6th ed)Hydrogenophilaceae
a family of gram-negative bacteria in the order hydrogenophilales, class betaproteobacteria.Hydrogensulfite Reductase
an enzyme found primarily in sulfur-reducing bacteria where it plays an important role in the anaerobic carbon oxidation pathway.Lisuride
an ergot derivative that acts as an agonist at dopamine d2 receptors (dopamine agonists). it may also act as an antagonist at dopamine d1 receptors, and as an agonist at some serotonin receptors (serotonin receptor agonists).Noscapine
a naturally occurring opium alkaloid that is a centrally acting antitussive agent.Nuclear Weapons
a weapon that derives its destructive force from nuclear fission and/or fusion.Peptide Transporter 1
a proton-coupled symporter that transports oligopeptides and dipeptides. it localizes to the brush-border membrane of the intestinal epithelium and plays a critical role in the assimilation of dietary proteins.Protons
stable elementary particles having the smallest known positive charge, found in the nuclei of all elements. the proton mass is less than that of a neutron. a proton is the nucleus of the light hydrogen atom, i.e., the hydrogen ion.Rivastigmine
a carbamate-derived reversible cholinesterase inhibitor that is selective for the central nervous system and is used for the treatment of dementia in alzheimer disease and parkinson disease.Sodium Bicarbonate
a white, crystalline powder that is commonly used as a ph buffering agent, an electrolyte replenisher, systemic alkalizer and in topical cleansing solutions.Tritium
the radioactive isotope of hydrogen also known as hydrogen-3. it contains two neutrons and one proton in its nucleus and decays to produce low energy beta particles.Water
a clear, odorless, tasteless liquid that is essential for most animal and plant life and is an excellent solvent for many substances. the chemical formula is hydrogen oxide (h2o). (mcgraw-hill dictionary of scientific and technical terms, 4th ed)Benzocaine
a surface anesthetic that acts by preventing transmission of impulses along nerve fibers and at nerve endings.Benztropine
a centrally active muscarinic antagonist that has been used in the symptomatic treatment of parkinson disease. benztropine also inhibits the uptake of dopamine.Betahistine
a histamine analog and h1 receptor agonist that serves as a vasodilator. it is used in meniere disease and in vascular headaches but may exacerbate bronchial asthma and peptic ulcers.Bromocriptine
a semisynthetic ergotamine alkaloid that is a dopamine d2 agonist. it suppresses prolactin secretion.Chlorofluorocarbons, Methane
a group of methane-based halogenated hydrocarbons containing one or more fluorine and chlorine atoms.Deferoxamine
natural product isolated from streptomyces pilosus. it forms iron complexes and is used as a chelating agent, particularly in the mesylate form.Dihydroergotamine
a 9,10alpha-dihydro derivative of ergotamine. it is used as a vasoconstrictor, specifically for the therapy of migraine disorders.Ergoloid Mesylates
a mixture of the mesylates (methane sulfonates) of dihydroergocornine; dihydroergocristine; and the alpha- and beta-isomers of dihydroergocryptine. the substance produces a generalized peripheral vasodilation and a fall in arterial pressure and has been used to treat symptoms of mild to moderate impairment of mental function in the elderly.Ethyl Methanesulfonate
an antineoplastic agent with alkylating properties. it also acts as a mutagen by damaging dna and is used experimentally for that effect.Gabexate
a serine proteinase inhibitor used therapeutically in the treatment of pancreatitis, disseminated intravascular coagulation (dic), and as a regional anticoagulant for hemodialysis. the drug inhibits the hydrolytic effects of thrombin, plasmin, and kallikrein, but not of chymotrypsin and aprotinin.Imatinib Mesylate
a tyrosine kinase inhibitor and antineoplastic agent that inhibits the bcr-abl kinase created by chromosome rearrangements in chronic myeloid leukemia and acute lymphoblastic leukemia, as well as pdg-derived tyrosine kinases that are overexpressed in gastrointestinal stromal tumors.Mesylates
organic salts or esters of methanesulfonic acid.Methane
the simplest saturated hydrocarbon. it is a colorless, flammable gas, slightly soluble in water. it is one of the chief constituents of natural gas and is formed in the decomposition of organic matter. (grant & hackh's chemical dictionary, 5th ed)Methyl Methanesulfonate
an alkylating agent in cancer therapy that may also act as a mutagen by interfering with and causing damage to dna.Methylococcaceae
a family of gram-negative, aerobic bacteria utilizing only one-carbon organic compounds and isolated from in soil and water.Phentolamine
a nonselective alpha-adrenergic antagonist. it is used in the treatment of hypertension and hypertensive emergencies, pheochromocytoma, vasospasm of raynaud disease and frostbite, clonidine withdrawal syndrome, impotence, and peripheral vascular disease.
Coding Guidelines
The appropriate 7th character is to be added to each code from block Toxic effect of other gases, fumes and vapors (T59). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Convert T59.893A to ICD-9-CM
- ICD-9-CM Code: 987.9 - Toxic eff gas/vapor NOS
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: E962.2 - Assault-pois w gas/vapor
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 T59.893 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 |
---|---|---|---|---|---|---|
Acetylene (gas) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Acetylene (gas) »dichloride | T59.891 | T59.892 | T59.893 | T59.894 | ||
Acetylene (gas) »incomplete combustion of | T59.891 | T59.892 | T59.893 | T59.894 | ||
Acetylene (gas) »industrial | T59.891 | T59.892 | T59.893 | T59.894 | ||
Acetylene (gas) »tetrachloride | T59.891 | T59.892 | T59.893 | T59.894 | ||
Acetylene (gas) »tetrachloride »vapor | T59.891 | T59.892 | T59.893 | T59.894 | ||
Acrolein (gas) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Acrolein (gas) »liquid | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ammonia (fumes) (gas) (vapor) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ammonia (fumes) (gas) (vapor) »aromatic spirit | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ammonia (fumes) (gas) (vapor) »liquid (household) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Brake fluid vapor | T59.891 | T59.892 | T59.893 | T59.894 | ||
Butane (distributed in mobile container) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Butane (distributed in mobile container) »distributed through pipes | T59.891 | T59.892 | T59.893 | T59.894 | ||
Butane (distributed in mobile container) »incomplete combustion | T59.891 | T59.892 | T59.893 | T59.894 | ||
Combustion gas (after combustion) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Combustion gas (after combustion) »prior to combustion | T59.891 | T59.892 | T59.893 | T59.894 | ||
Cyanic acid (gas) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Cyanogen (chloride) (gas) NEC | T59.891 | T59.892 | T59.893 | T59.894 | ||
Diazomethane (gas) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Diborane (gas) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Dichloroethyl sulfide, not in war | T59.891 | T59.892 | T59.893 | T59.894 | ||
Dichloroformoxine, not in war | T59.891 | T59.892 | T59.893 | T59.894 | ||
Domestic gas (after combustion) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Domestic gas (after combustion) »prior to combustion | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethidium chloride (vapor) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) »anesthetic (general) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) »chlorohydrin | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) »chlorohydrin »vapor | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) »dichloride | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) »dichloride »vapor | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) »dinitrate | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) »glycol (s) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) »glycol (s) »dinitrate | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) »glycol (s) »monobutyl ether | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) »imine | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) »oxide (fumigant) (nonmedicinal) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ethylene (gas) »oxide (fumigant) (nonmedicinal) »medicinal | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ferrovanadium (fumes) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Firedamp | T59.891 | T59.892 | T59.893 | T59.894 | ||
Helium (nonmedicinal) NEC | T59.891 | T59.892 | T59.893 | T59.894 | ||
Helium (nonmedicinal) NEC »medicinal | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrocarbon gas | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrocarbon gas »incomplete combustion of | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrocarbon gas »liquefied (mobile container) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrocarbon gas »liquefied (mobile container) »piped (natural) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen »arsenide | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen »arseniureted | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen »chloride | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen »cyanide (salts) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen »cyanide (salts) »gas | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen »Fluoride | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen »Fluoride »vapor | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen »peroxide | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen »phosphureted | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen »sulfide | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen »sulfide »arseniureted | T59.891 | T59.892 | T59.893 | T59.894 | ||
Hydrogen »sulfureted | T59.891 | T59.892 | T59.893 | T59.894 | ||
Liquefied petroleum gases | T59.891 | T59.892 | T59.893 | T59.894 | ||
Liquefied petroleum gases »piped (pure or mixed with air) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Marsh gas | T59.891 | T59.892 | T59.893 | T59.894 | ||
Methane | T59.891 | T59.892 | T59.893 | T59.894 | ||
Methanethiol | T59.891 | T59.892 | T59.893 | T59.894 | ||
Ozone | T59.891 | T59.892 | T59.893 | T59.894 | ||
Phosgene (gas) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Polyester fumes | T59.891 | T59.892 | T59.893 | T59.894 | ||
Polytetrafluoroethylene (inhaled) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Propane (distributed in mobile container) | T59.891 | T59.892 | T59.893 | T59.894 | ||
Propane (distributed in mobile container) »distributed through pipes | T59.891 | T59.892 | T59.893 | T59.894 | ||
Propane (distributed in mobile container) »incomplete combustion | T59.891 | T59.892 | T59.893 | T59.894 | ||
Propylene | T59.891 | T59.892 | T59.893 | T59.894 | ||
Sternutator gas | T59.891 | T59.892 | T59.893 | T59.894 |
Patient Education
Poisoning
A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include:
- Prescription or over-the-counter medicines taken in doses that are too high
- Overdoses of illegal drugs
- Carbon monoxide from gas appliances
- Household products, such as laundry powder or furniture polish
- Pesticides
- Indoor or outdoor plants
- Metals such as lead and mercury
The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.
[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.