2026 ICD-10-CM Diagnosis Code T59.7X1AToxic effect of carbon dioxide, accidental (unintentional), initial encounter

ICD-10-CM CodesS00–T88T51-T65T59

ICD-10-CM T59.7X1A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T59.7X1A is a billable ICD-10-CM diagnosis code for toxic effect of carbon dioxide, accidental (unintentional), 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 accidental poisoning from exhaust gas of moving motor vehicle on road. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under External cause codes: intent of injury, accidental/unintentional; External cause codes: poisoning by non-drug; and Toxic effects, initial encounter.

Code Identity

ICD-10-CM Code
T59.7X1A
Billable Status
Yes — Valid for Submission
Code Describes
Toxic effect of carbon dioxide, accidental (unintentional), initial encounter
Short Description
Toxic effect of carbon dioxide, accidental, init
Parent Code
Toxic effect of carbon dioxide, accidental (unintentional)

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 CodeT59.7X1AToxic effect of carbon dioxide, accidental (unintentional), initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Accidental poisoning from exhaust gas of moving motor vehicle on road
  • Exposure to carbon dioxide
  • Exposure to gaseous substance
  • Toxic effect of carbon dioxide

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 EXT020
External cause codes: intent of injury, accidental/unintentional
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
Carbonic acid gasT59.7X1T59.7X2T59.7X3T59.7X4
Carbonic acid gas::anhydrase inhibitor NECT59.7X1T59.7X2T59.7X3T59.7X4
Choke dampT59.7X1T59.7X2T59.7X3T59.7X4

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 T59.7X1A 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
E869.8 Acc poison-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 T59.7X1AOverview

Is T59.7X1A (Toxic effect of carbon dioxide, accidental (unintentional)) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report toxic effect of carbon dioxide, accidental (unintentional), initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in T59.7X1A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for toxic effect of carbon dioxide, accidental (unintentional), such as an emergency visit or first evaluation.

What MS-DRG does T59.7X1A group to?

When toxic effect of carbon dioxide, accidental (unintentional), 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 T59.7X1A?

Under the General Equivalence Mappings, toxic effect of carbon dioxide, accidental (unintentional), initial encounter converts to ICD-9-CM 987.8 (toxic eff gas/vapor NEC) and E869.8 (acc poison-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.