2026 ICD-10-CM Diagnosis Code T59.5X4AToxic effect of fluorine gas and hydrogen fluoride, undetermined, initial encounter

ICD-10-CM CodesS00–T88T51-T65T59

ICD-10-CM T59.5X4A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T59.5X4A is a billable ICD-10-CM diagnosis code for toxic effect of fluorine gas and hydrogen fluoride, undetermined, 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, undetermined; External cause codes: poisoning by non-drug; and Toxic effects, initial encounter.

Code Identity

ICD-10-CM Code
T59.5X4A
Billable Status
Yes — Valid for Submission
Code Describes
Toxic effect of fluorine gas and hydrogen fluoride, undetermined, initial encounter
Short Description
Toxic eff of fluorine gas and hydrogen fluoride, undet, init
Parent Code
Toxic effect of fluorine gas and hydrogen fluoride, undetermined

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT51-T65Toxic effects of substances chiefly nonmedicinal as to source
CategoryT59Toxic effect of other gases, fumes and vapors
This CodeT59.5X4AToxic effect of fluorine gas and hydrogen fluoride, undetermined, initial encounter

Coding GuidelinesGuidance

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 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.

CCSR EXT023
External cause codes: intent of injury, undetermined
Default principal diagnosis: inpatient No · outpatient No
CCSR EXT015
External cause codes: poisoning by non-drug
Default principal diagnosis: inpatient No · outpatient No
CCSR INJ023
Toxic effects, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

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.

SubstanceAccidentalSelf-harmAssaultUndeter­minedAdverse
Effect
Under­dosing
Fluorine (gas)T59.5X1T59.5X2T59.5X3T59.5X4
Fluorine (gas)::saltT59.5X1T59.5X2T59.5X3T59.5X4

Patient EducationClinical

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:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert T59.5X4A to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
987.8 Toxic eff gas/vapor NEC
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
E982.8 Undet pois-gas/vapor NEC
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T59.5X4AOverview

Is T59.5X4A a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report toxic effect of fluorine gas and hydrogen fluoride, undetermined, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in T59.5X4A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for toxic effect of fluorine gas and hydrogen fluoride, undetermined, such as an emergency visit or first evaluation.

What MS-DRG does T59.5X4A group to?

When toxic effect of fluorine gas and hydrogen fluoride, undetermined, 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 T59.5X4A?

Under the General Equivalence Mappings, toxic effect of fluorine gas and hydrogen fluoride, undetermined, initial encounter converts to ICD-9-CM 987.8 (toxic eff gas/vapor NEC) and E982.8 (undet pois-gas/vapor NEC). 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.