2026 ICD-10-CM Diagnosis Code T59.892SToxic effect of other specified gases, fumes and vapors, intentional self-harm, sequela

ICD-10-CM CodesS00–T88T51-T65T59

ICD-10-CM T59.892S
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T59.892S is a billable ICD-10-CM diagnosis code for toxic effect of other specified gases, fumes and vapors, intentional self-harm, 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 Mental and substance use disorders; sequela; and Poisoning/toxic effect/adverse effects/underdosing, sequela.

Code Identity

ICD-10-CM Code
T59.892S
Billable Status
Yes — Valid for Submission
Code Describes
Toxic effect of other specified gases, fumes and vapors, intentional self-harm, sequela
Short Description
Toxic effect of gases, fumes and vapors, self-harm, sequela
Parent Code
Toxic effect of other specified gases, fumes and vapors, intentional self-harm

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 CodeT59.892SToxic effect of other specified gases, fumes and vapors, intentional self-harm, sequela

Present on Admission (POA)Billing

T59.892S 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.

  • Intentional self poisoning
  • Self poisoning by gas
  • Suicide and selfinflicted poisoning by gas distributed by pipeline
  • Suicide and selfinflicted poisoning by gases in domestic use
  • Suicide and selfinflicted poisoning by liquefied petroleum gas distributed in mobile containers

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 MBD034
Mental and substance use disorders; sequela
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR INJ075
Poisoning/toxic effect/adverse effects/underdosing, sequela
Default principal diagnosis: inpatient No · outpatient No

Clinical InformationClinical

  • 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.

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
Acetylene (gas)T59.891T59.892T59.893T59.894
Acetylene (gas)::dichlorideT59.891T59.892T59.893T59.894
Acetylene (gas)::incomplete combustion ofT59.891T59.892T59.893T59.894
Acetylene (gas)::industrialT59.891T59.892T59.893T59.894
Acetylene (gas)::tetrachlorideT59.891T59.892T59.893T59.894
Acetylene (gas)::tetrachloride::vaporT59.891T59.892T59.893T59.894
Acrolein (gas)T59.891T59.892T59.893T59.894
Acrolein (gas)::liquidT59.891T59.892T59.893T59.894
Ammonia (fumes) (gas) (vapor)T59.891T59.892T59.893T59.894
Ammonia (fumes) (gas) (vapor)::aromatic spiritT59.891T59.892T59.893T59.894
Ammonia (fumes) (gas) (vapor)::liquid (household)T59.891T59.892T59.893T59.894
Brake fluid vaporT59.891T59.892T59.893T59.894
Butane (distributed in mobile container)T59.891T59.892T59.893T59.894
Butane (distributed in mobile container)::distributed through pipesT59.891T59.892T59.893T59.894
Butane (distributed in mobile container)::incomplete combustionT59.891T59.892T59.893T59.894
Combustion gas (after combustion)T59.891T59.892T59.893T59.894
Combustion gas (after combustion)::prior to combustionT59.891T59.892T59.893T59.894
Cyanic acid (gas)T59.891T59.892T59.893T59.894
Cyanogen (chloride) (gas) NECT59.891T59.892T59.893T59.894
Diazomethane (gas)T59.891T59.892T59.893T59.894
Diborane (gas)T59.891T59.892T59.893T59.894
Dichloroethyl sulfide, not in warT59.891T59.892T59.893T59.894
Dichloroformoxine, not in warT59.891T59.892T59.893T59.894
Domestic gas (after combustion)T59.891T59.892T59.893T59.894
Domestic gas (after combustion)::prior to combustionT59.891T59.892T59.893T59.894
Ethidium chloride (vapor)T59.891T59.892T59.893T59.894
Ethylene (gas)T59.891T59.892T59.893T59.894
Ethylene (gas)::anesthetic (general)T59.891T59.892T59.893T59.894
Ethylene (gas)::chlorohydrinT59.891T59.892T59.893T59.894
Ethylene (gas)::chlorohydrin::vaporT59.891T59.892T59.893T59.894
Ethylene (gas)::dichlorideT59.891T59.892T59.893T59.894
Ethylene (gas)::dichloride::vaporT59.891T59.892T59.893T59.894
Ethylene (gas)::dinitrateT59.891T59.892T59.893T59.894
Ethylene (gas)::glycol (s)T59.891T59.892T59.893T59.894
Ethylene (gas)::glycol (s)::dinitrateT59.891T59.892T59.893T59.894
Ethylene (gas)::glycol (s)::monobutyl etherT59.891T59.892T59.893T59.894
Ethylene (gas)::imineT59.891T59.892T59.893T59.894
Ethylene (gas)::oxide (fumigant) (nonmedicinal)T59.891T59.892T59.893T59.894
Ethylene (gas)::oxide (fumigant) (nonmedicinal)::medicinalT59.891T59.892T59.893T59.894
Ferrovanadium (fumes)T59.891T59.892T59.893T59.894
FiredampT59.891T59.892T59.893T59.894
Helium (nonmedicinal) NECT59.891T59.892T59.893T59.894
Helium (nonmedicinal) NEC::medicinalT59.891T59.892T59.893T59.894
Hydrocarbon gasT59.891T59.892T59.893T59.894
Hydrocarbon gas::incomplete combustion ofT59.891T59.892T59.893T59.894
Hydrocarbon gas::liquefied (mobile container)T59.891T59.892T59.893T59.894
Hydrocarbon gas::liquefied (mobile container)::piped (natural)T59.891T59.892T59.893T59.894
HydrogenT59.891T59.892T59.893T59.894
Hydrogen::arsenideT59.891T59.892T59.893T59.894
Hydrogen::arseniuretedT59.891T59.892T59.893T59.894
Hydrogen::chlorideT59.891T59.892T59.893T59.894
Hydrogen::cyanide (salts)T59.891T59.892T59.893T59.894
Hydrogen::cyanide (salts)::gasT59.891T59.892T59.893T59.894
Hydrogen::FluorideT59.891T59.892T59.893T59.894
Hydrogen::Fluoride::vaporT59.891T59.892T59.893T59.894
Hydrogen::peroxideT59.891T59.892T59.893T59.894
Hydrogen::phosphuretedT59.891T59.892T59.893T59.894
Hydrogen::sulfideT59.891T59.892T59.893T59.894
Hydrogen::sulfide::arseniuretedT59.891T59.892T59.893T59.894
Hydrogen::sulfuretedT59.891T59.892T59.893T59.894
Liquefied petroleum gasesT59.891T59.892T59.893T59.894
Liquefied petroleum gases::piped (pure or mixed with air)T59.891T59.892T59.893T59.894
Marsh gasT59.891T59.892T59.893T59.894
MethaneT59.891T59.892T59.893T59.894
MethanethiolT59.891T59.892T59.893T59.894
OzoneT59.891T59.892T59.893T59.894
Phosgene (gas)T59.891T59.892T59.893T59.894
Polyester fumesT59.891T59.892T59.893T59.894
Polytetrafluoroethylene (inhaled)T59.891T59.892T59.893T59.894
Propane (distributed in mobile container)T59.891T59.892T59.893T59.894
Propane (distributed in mobile container)::distributed through pipesT59.891T59.892T59.893T59.894
Propane (distributed in mobile container)::incomplete combustionT59.891T59.892T59.893T59.894
PropyleneT59.891T59.892T59.893T59.894
Sternutator gasT59.891T59.892T59.893T59.894

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 T59.892S to ICD-9-CMHistory

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

ICD-9-CM
909.1 Late eff nonmed substanc
Approximate The match is approximate rather than exact.

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 T59.892SOverview

Is T59.892S a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report toxic effect of other specified gases, fumes and vapors, intentional self-harm, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in T59.892S mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the toxic effect of other specified gases, fumes and vapors, intentional self-harm itself has resolved, not the original event.

What MS-DRG does T59.892S group to?

When toxic effect of other specified gases, fumes and vapors, intentional self-harm, 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 T59.892S 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 other specified gases, fumes and vapors, intentional self-harm, sequela on inpatient claims.

What is the ICD-9 equivalent of T59.892S?

Under the General Equivalence Mappings, toxic effect of other specified gases, fumes and vapors, intentional self-harm, 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.