Code First Notes in Chapter 19: Injury, poisoning and certain other consequences of external causes ICD-10-CM
A Code First note means the underlying condition named in the note is sequenced before this code. In Chapter 19 (S00-T88), notes printed in the chapter name other codes 54 times, and Code First Notes anywhere in the Tabular List name the chapter’s codes 154 times, covering 55 distinct codes, categories and ranges. Switch views to read the list either way.
Code First Notes by the code that carries the note
- any associated intracranial injury (S06.-)
- any associated spinal cord and spinal nerve injury (S34.-)
- T22.4 Corrosion of unspecified degree of shoulder and upper limb, except wrist and hand applies to 66 codes
- T22.5 Corrosion of first degree of shoulder and upper limb, except wrist and hand applies to 66 codes
- T22.6 Corrosion of second degree of shoulder and upper limb, except wrist and hand applies to 66 codes
- T22.7 Corrosion of third degree of shoulder and upper limb, except wrist and hand applies to 66 codes
- Block note Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
- S00-T88 Superficial injury of head to Other complications of surgical and medical care, not elsewhere classified 41,187 codes
- R65.1 Systemic inflammatory response syndrome (SIRS) of non-infectious origin: injury and trauma (S00-T88)
- R40.2 Coma: fracture of skull (S02.-)
- S06.A Traumatic brain compression and herniation: diffuse traumatic brain injury (S06.2-)
- S06.A Traumatic brain compression and herniation: focal traumatic brain injury (S06.3-)
- S06.A Traumatic brain compression and herniation: traumatic subdural hemorrhage (S06.5-)
- S06.A Traumatic brain compression and herniation: traumatic subarachnoid hemorrhage (S06.6-)
- F02 Dementia in other diseases classified elsewhere: traumatic brain injury (S06.-)
- F06.7 Mild neurocognitive disorder due to known physiological condition: traumatic brain injury (S06.-)
- F48.2 Pseudobulbar affect: sequelae of traumatic intracranial injury (S06.-)
- R40.2 Coma: intracranial injury (S06.-)
- S04 Injury of cranial nerve: any associated intracranial injury (S06.-)
- I71 Aortic aneurysm and dissection: traumatic aortic aneurysm (S25.09, S35.09)
- R29.5 Transient paralysis: any associated spinal cord injury (S14.0, S14.1-, S24.0, S24.1-, S34.0-, S34.1-)
- R29.5 Transient paralysis: any associated spinal cord injury (S14.0, S14.1-, S24.0, S24.1-, S34.0-, S34.1-)
- S34.- Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level 93 codes
- S32 Fracture of lumbar spine and pelvis: any associated spinal cord and spinal nerve injury (S34.-)
- I71 Aortic aneurysm and dissection: traumatic aortic aneurysm (S25.09, S35.09)
- G90.81 Serotonin syndrome: linezolid (T36.8X- with sixth character 1-4)
- T36-T50 Poisoning by, adverse effect of and underdosing of systemic antibiotics to Poisoning by, adverse effect of and underdosing of diuretics and other and unspecified drugs, medicaments and biological substances 3,186 codes
- Z91.12 Patient's intentional underdosing of medication regimen: underdosing of medication (T36-T50) with fifth or sixth character 6
- Z91.13 Patient's unintentional underdosing of medication regimen: underdosing of medication (T36-T50) with fifth or sixth character 6
- Z91.14 Patient's other noncompliance with medication regimen: , if applicable, adverse effect of underdosing (T36-T50)
- Z91.A2 Caregiver's intentional underdosing of patient's medication regimen: underdosing of medication (T36-T50) with fifth or sixth character 6
- Z91.A3 Caregiver's unintentional underdosing of patient's medication regimen: underdosing of medication (T36-T50) with fifth or sixth character 6
- T36-T65 Poisoning by, adverse effect of and underdosing of systemic antibiotics to Toxic effect of other and unspecified substances 4,866 codes
- D64.2 Secondary sideroblastic anemia due to drugs and toxins: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- E03.2 Hypothyroidism due to medicaments and other exogenous substances: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- E09 Drug or chemical induced diabetes mellitus: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- F02 Dementia in other diseases classified elsewhere: intoxications (T36-T65)
- G92.8 Other toxic encephalopathy: poisoning due to drug or toxin, if applicable, (T36-T65 with fifth or sixth character 1-4)
- G92.9 Unspecified toxic encephalopathy: poisoning due to drug or toxin, if applicable, (T36-T65 with fifth or sixth character 1-4)
- H35.38 Toxic maculopathy: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- H91.0 Ototoxic hearing loss: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- I42.7 Cardiomyopathy due to drug and external agent: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- K22.1 Ulcer of esophagus: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- K71 Toxic liver disease: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- L53.0 Toxic erythema: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- M34.2 Systemic sclerosis induced by drug and chemical: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- N14 Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- P58.4 Neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- G93.7 Reye's syndrome: poisoning due to salicylates, if applicable (T39.0-, with sixth character 1-4)
- T43.1X Poisoning by, adverse effect of and underdosing of monoamine-oxidase-inhibitor antidepressants 18 codes
- G90.81 Serotonin syndrome: monoamine oxidase inhibitors (T43.1X with sixth character 1-4)
- T43.21 Poisoning by, adverse effect of and underdosing of selective serotonin and norepinephrine reuptake inhibitors 18 codes
- G90.81 Serotonin syndrome: selective serotonin and norepinephrine reuptake inhibitors [SSNRI] (T43.21 with sixth character 1-4)
- T43.22 Poisoning by, adverse effect of and underdosing of selective serotonin reuptake inhibitors 18 codes
- G90.81 Serotonin syndrome: selective serotonin reuptake inhibitors [SSRI] (T43.22 with sixth character 1-4)
- D61.2 Aplastic anemia due to other external agents: , if applicable, toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
- G21.2 Secondary parkinsonism due to other external agents: (T51-T65) to identify external agent
- G62.2 Polyneuropathy due to other toxic agents: (T51-T65) to identify toxic agent
- G70.1 Toxic myoneural disorders: (T51-T65) to identify toxic agent
- G72.2 Myopathy due to other toxic agents: (T51-T65) to identify toxic agent
- H10.21 Acute toxic conjunctivitis: (T51-T65) to identify chemical and intent
- H46.3 Toxic optic neuropathy: (T51-T65) to identify cause
- J68 Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors: (T51-T65) to identify cause
- J69.1 Pneumonitis due to inhalation of oils and essences: (T51-T65) to identify substance
- J69.8 Pneumonitis due to inhalation of other solids and liquids: (T51-T65) to identify substance
- J70.8 Respiratory conditions due to other specified external agents: (T51-T65) to identify the external agent
- J70.9 Respiratory conditions due to unspecified external agent: (T51-T65) to identify the external agent
- J84.89 Other specified interstitial pulmonary diseases: poisoning due to drug or toxin (T51-T65 with fifth or sixth character to indicate intent), for toxic pneumonopathy
- K52.1 Toxic gastroenteritis and colitis: (T51-T65) to identify toxic agent
- K59.3 Megacolon, not elsewhere classified: , if applicable (T51-T65) to identify toxic agent
- T20.4 Corrosion of unspecified degree of head, face, and neck: (T51-T65) to identify chemical and intent
- T20.5 Corrosion of first degree of head, face, and neck: (T51-T65) to identify chemical and intent
- T20.6 Corrosion of second degree of head, face, and neck: (T51-T65) to identify chemical and intent
- T20.7 Corrosion of third degree of head, face, and neck: (T51-T65) to identify chemical and intent
- T21.4 Corrosion of unspecified degree of trunk: (T51-T65) to identify chemical and intent
- T21.5 Corrosion of first degree of trunk: (T51-T65) to identify chemical and intent
- T21.6 Corrosion of second degree of trunk: (T51-T65) to identify chemical and intent
- T21.7 Corrosion of third degree of trunk: (T51-T65) to identify chemical and intent
- T22.4 Corrosion of unspecified degree of shoulder and upper limb, except wrist and hand: (T51-T65) to identify chemical and intent
- T22.5 Corrosion of first degree of shoulder and upper limb, except wrist and hand: (T51-T65) to identify chemical and intent
- T22.6 Corrosion of second degree of shoulder and upper limb, except wrist and hand: (T51-T65) to identify chemical and intent
- T22.7 Corrosion of third degree of shoulder and upper limb, except wrist and hand: (T51-T65) to identify chemical and intent
- T23.4 Corrosion of unspecified degree of wrist and hand: (T51-T65) to identify chemical and intent
- T23.5 Corrosion of first degree of wrist and hand: (T51-T65) to identify chemical and intent
- T23.6 Corrosion of second degree of wrist and hand: (T51-T65) to identify chemical and intent
- T23.7 Corrosion of third degree of wrist and hand: (T51-T65) to identify chemical and intent
- T24.4 Corrosion of unspecified degree of lower limb, except ankle and foot: (T51-T65) to identify chemical and intent
- T24.5 Corrosion of first degree of lower limb, except ankle and foot: (T51-T65) to identify chemical and intent
- T24.6 Corrosion of second degree of lower limb, except ankle and foot: (T51-T65) to identify chemical and intent
- T24.7 Corrosion of third degree of lower limb, except ankle and foot: (T51-T65) to identify chemical and intent
- T25.4 Corrosion of unspecified degree of ankle and foot: (T51-T65) to identify chemical and intent
- T25.5 Corrosion of first degree of ankle and foot: (T51-T65) to identify chemical and intent
- T25.6 Corrosion of second degree of ankle and foot: (T51-T65) to identify chemical and intent
- T25.7 Corrosion of third degree of ankle and foot: (T51-T65) to identify chemical and intent
- T26.5 Corrosion of eyelid and periocular area: (T51-T65) to identify chemical and intent
- T26.6 Corrosion of cornea and conjunctival sac: (T51-T65) to identify chemical and intent
- T26.7 Corrosion with resulting rupture and destruction of eyeball: (T51-T65) to identify chemical and intent
- T26.8 Corrosions of other specified parts of eye and adnexa: (T51-T65) to identify chemical and intent
- T26.9 Corrosion of eye and adnexa, part unspecified: (T51-T65) to identify chemical and intent
- T27.4 Corrosion of larynx and trachea: (T51-T65) to identify chemical and intent
- T27.5 Corrosion involving larynx and trachea with lung: (T51-T65) to identify chemical and intent
- T27.6 Corrosion of other parts of respiratory tract: (T51-T65) to identify chemical and intent
- T27.7 Corrosion of respiratory tract, part unspecified: (T51-T65) to identify chemical and intent
- T28.5 Corrosion of mouth and pharynx: (T51-T65) to identify chemical and intent
- T28.6 Corrosion of esophagus: (T51-T65) to identify chemical and intent
- T28.7 Corrosion of other parts of alimentary tract: (T51-T65) to identify chemical and intent
- T28.8 Corrosion of internal genitourinary organs: (T51-T65) to identify chemical and intent
- T28.9 Corrosions of other and unspecified internal organs: (T51-T65) to identify chemical and intent
- J70.5 Respiratory conditions due to smoke inhalation: smoke inhalation (T59.81-)
- R65.1 Systemic inflammatory response syndrome (SIRS) of non-infectious origin: heatstroke (T67.0-)
- M90.5 Osteonecrosis in diseases classified elsewhere: caisson disease (T70.3)
- W20 Struck by thrown, projected or falling object: lightning strike (T75.00)
- T80.22- Acute infection following transfusion, infusion, or injection of blood and blood products 3 codes
- A40 Streptococcal sepsis: streptococcal sepsis following infusion, transfusion or therapeutic injection (T80.22-, T80.29-)
- A41 Other sepsis: sepsis following infusion, transfusion or therapeutic injection (T80.22-, T80.29-)
- A84.89 Other tick-borne viral encephalitis: , if applicable, transfusion related infection (T80.22-)
- R65.2 Severe sepsis: infections following infusion, transfusion and therapeutic injection (T80.2-)
- M36.4 Arthropathy in hypersensitivity reactions classified elsewhere: serum sickness (T80.6-)
- G92.0 Immune effector cell-associated neurotoxicity syndrome: complications of immune effector cellular therapy (T80.82)
- R65.2 Severe sepsis: infection following a procedure (T81.4-)
- I26.03 Cement embolism of pulmonary artery with acute cor pulmonale: complication of other artery following a procedure (T81.718)
- I26.04 Fat embolism of pulmonary artery with acute cor pulmonale: complication of other artery following a procedure (T81.718)
- I26.95 Cement embolism of pulmonary artery without acute cor pulmonale: complication of other artery following a procedure (T81.718)
- I26.96 Fat embolism of pulmonary artery without acute cor pulmonale: complication of other artery following a procedure (T81.718)
- J98.51 Mediastinitis: underlying condition, if applicable, such as postoperative mediastinitis (T81.-)
- M89.7 Major osseous defect: periprosthetic osteolysis (T84.05-)
- T85.898 Other specified complication of other internal prosthetic devices, implants and grafts 3 codes
- N64.1 Fat necrosis of breast: breast necrosis due to breast graft (T85.898)
- T86.09 Other complications of bone marrow transplant
- J44.81 Bronchiolitis obliterans and bronchiolitis obliterans syndrome: complication of bone marrow transplant (T86.09)
- M31.11 Hematopoietic stem cell transplantation-associated thrombotic microangiopathy [HSCT-TMA]: complications of bone marrow transplant (T86.0-)
- D59.39 Other hemolytic-uremic syndrome: complications of kidney transplant (T86.1-)
- D59.39 Other hemolytic-uremic syndrome: complications of heart transplant (T86.2-)
- T86.31 Heart-lung transplant rejection
- T86.39 Other complications of heart-lung transplant
- D59.39 Other hemolytic-uremic syndrome: complications of liver transplant (T86.4-)
- T86.5 Complications of stem cell transplant
- T86.810 Lung transplant rejection
- T86.818 Other complications of lung transplant
- C80.2 Malignant neoplasm associated with transplanted organ: complication of transplanted organ (T86.-)
- D47.Z1 Post-transplant lymphoproliferative disorder (PTLD): complications of transplanted organs and tissue (T86.-)
- D89.81 Graft-versus-host disease: complications of transplanted organs and tissue (T86.-)
- D89.83 Cytokine release syndrome: complications of transplanted organs and tissue (T86.-)
- Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances: adverse effect NOS (T88.7)
The first view lists notes printed in this chapter (a note on a category or block applies to every code beneath it). The second lists codes of this chapter named by Code First Notes anywhere in the Tabular List, including notes in other chapters.
Questions About Code First Notes
What does a Code First note mean?
A Code First note means the underlying condition named in the note is sequenced before the code that carries the note. Under the etiology/manifestation convention, a “code first” note appears at the manifestation code and a “use additional code” note at the etiology code (Section I.A.13). The FY 2027 Tabular List has 810 of them; 600 name other codes, with 736 references to 429 distinct codes, categories and ranges.
Can a code with a Code First note be the principal diagnosis?
Not when it is a manifestation code. Codes titled “in diseases classified elsewhere” are never permitted as the first-listed or principal diagnosis; they must follow the underlying condition. The etiology and manifestation page lists them all.
Related References
Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.