Toxic effect of chromium and its compounds, accidental (unintentional)

• birth trauma (P10-P15)
• obstetric trauma (O70-O71)

code to identify any retained foreign body, if applicable (Z18.-)

• Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
• The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

contact with and (suspected) exposure to toxic substances (Z77.-)

• code(s):
• for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
• personal history of foreign body fully removed (Z87.821)
• to identify any retained foreign body, if applicable (Z18.-)

When no intent is indicated code to accidental. Undetermined intent is only for use when there is specific documentation in the record that the intent of the toxic effect cannot be determined.

• toxic effects of fumes and vapors of metals
• toxic effects of metals from all sources, except medicinal substances

• arsenic and its compounds (T57.0)
• manganese and its compounds (T57.2)

code to identify any retained metal foreign body, if applicable (Z18.0-, T18.1-)

The appropriate 7th character is to be added to each code from category T56