T65即将生效类别：需要更具体的编码

Toxic effect of other and unspecified substances

编码说明

A — initial encounter

D — subsequent encounter

S — sequela

章节 19 · 上级编码说明

Use additional code

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

T51-T65 · 上级编码说明

Use additional code

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.-)

Excludes 1

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

Excludes 2 · 2

章节 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

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

更具体的编码

T65.0Toxic effect of cyanides T65.1Toxic effect of strychnine and its salts T65.2Toxic effect of tobacco and nicotine T65.3Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues T65.4Toxic effect of carbon disulfide T65.5Toxic effect of nitroglycerin and other nitric acids and esters T65.6Toxic effect of paints and dyes, not elsewhere classified T65.8Toxic effect of other specified substances T65.9Toxic effect of unspecified substance

账单与保险保障

何时必须使用ICD-10-CM

自2015年10月1日起，受HIPAA约束的美国诊断理赔必须使用ICD-10-CM。

门诊和专业服务理赔使用服务日期，住院理赔使用出院日期。此前的就诊使用ICD-9-CM；具体编码也必须在相应日期有效。

官方编码指南 → · CMS ↗

首次收录 · 2015-10-01

编码历史

最近记录的变更 · FY2025 · 04-01

已变更无变更

FY2025 · 04-01

生效日期 2025-04-01

上级说明变更

Toxic effect of other and unspecified substances

类别 — 请选择更具体的编码

CDC/NCHS · FY2025 · 04-01

所有版本 (19)

所有版本	生效日期	编码历史
FY2016	2015-10-01	首次收录
FY2017	2016-10-01	分类表无变更
FY2018	2017-10-01	分类表无变更
FY2019	2018-10-01	分类表无变更
FY2020	2019-10-01	分类表无变更
FY2020 · April	2020-04-01	分类表无变更
FY2021	2020-10-01	分类表无变更
FY2021 · 01-01	2021-01-01	分类表无变更
FY2022	2021-10-01	分类表无变更
FY2022 · 04-01	2022-04-01	分类表无变更
FY2023	2022-10-01	分类表无变更
FY2023 · 04-01	2023-04-01	分类表无变更
FY2024	2023-10-01	分类表无变更
FY2024 · 04-01	2024-04-01	分类表无变更
FY2025	2024-10-01	分类表无变更
FY2025 · 04-01	2025-04-01	上级说明变更
FY2026	2025-10-01	分类表无变更
FY2026 · April	2026-04-01	分类表无变更
FY2027	2026-10-01	分类表无变更

编码说明

Seventh character

The appropriate 7th character is to be added to each code from category T65

A — initial encounter

D — subsequent encounter

S — sequela

上级编码说明

章节 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

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

Use additional code

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

Note

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.

T51-T65 · Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)

Excludes 1

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

Use additional code

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.-)

Note

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.

更具体的编码

相关编码

官方名称和说明保留来源语言。官方来源 ↗

其他编码的引用 (72)

D61.2 · Aplastic anemia due to other external agents

Code first · , if applicable, toxic effects of substances chiefly nonmedicinal as to source (T51-T65)

D64.2 · Secondary sideroblastic anemia due to drugs and toxins

Code first · 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

Code first · poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

E09 · Drug or chemical induced diabetes mellitus

Code first · poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

F02 · Dementia in other diseases classified elsewhere

Code first · intoxications (T36-T65)

G21.2 · Secondary parkinsonism due to other external agents

Code first · (T51-T65) to identify external agent

G62.2 · Polyneuropathy due to other toxic agents

Code first · (T51-T65) to identify toxic agent

G70.1 · Toxic myoneural disorders

Code first · (T51-T65) to identify toxic agent

G72.2 · Myopathy due to other toxic agents

Code first · (T51-T65) to identify toxic agent

G92.8 · Other toxic encephalopathy

Code first · poisoning due to drug or toxin, if applicable, (T36-T65 with fifth or sixth character 1-4)

G92.9 · Unspecified toxic encephalopathy

Code first · poisoning due to drug or toxin, if applicable, (T36-T65 with fifth or sixth character 1-4)

H10.21 · Acute toxic conjunctivitis

Code first · (T51-T65) to identify chemical and intent

H35.38 · Toxic maculopathy

Code first · poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

H46.3 · Toxic optic neuropathy

Code first · (T51-T65) to identify cause

H91.0 · Ototoxic hearing loss

Code first · 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

Code first · poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

J68 · Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors

Code first · (T51-T65) to identify cause

J69.1 · Pneumonitis due to inhalation of oils and essences

Code first · (T51-T65) to identify substance

J69.8 · Pneumonitis due to inhalation of other solids and liquids

Code first · (T51-T65) to identify substance

J70.8 · Respiratory conditions due to other specified external agents

Code first · (T51-T65) to identify the external agent

J70.9 · Respiratory conditions due to unspecified external agent

Code first · (T51-T65) to identify the external agent

J84.89 · Other specified interstitial pulmonary diseases

Code first · poisoning due to drug or toxin (T51-T65 with fifth or sixth character to indicate intent), for toxic pneumonopathy

K22.1 · Ulcer of esophagus

Code first · poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

K52.1 · Toxic gastroenteritis and colitis

Code first · (T51-T65) to identify toxic agent

K59.3 · Megacolon, not elsewhere classified

Code first · , if applicable (T51-T65) to identify toxic agent

K71 · Toxic liver disease

Code first · poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

L53.0 · Toxic erythema

Code first · 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

Code first · 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

Code first · 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

Code first · poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

T20.4 · Corrosion of unspecified degree of head, face, and neck

Code first · (T51-T65) to identify chemical and intent

T20.5 · Corrosion of first degree of head, face, and neck

Code first · (T51-T65) to identify chemical and intent

T20.6 · Corrosion of second degree of head, face, and neck

Code first · (T51-T65) to identify chemical and intent

T20.7 · Corrosion of third degree of head, face, and neck

Code first · (T51-T65) to identify chemical and intent

T21.4 · Corrosion of unspecified degree of trunk

Code first · (T51-T65) to identify chemical and intent

T21.5 · Corrosion of first degree of trunk

Code first · (T51-T65) to identify chemical and intent

T21.6 · Corrosion of second degree of trunk

Code first · (T51-T65) to identify chemical and intent

T21.7 · Corrosion of third degree of trunk

Code first · (T51-T65) to identify chemical and intent

T22.4 · Corrosion of unspecified degree of shoulder and upper limb, except wrist and hand

Code first · (T51-T65) to identify chemical and intent

T22.5 · Corrosion of first degree of shoulder and upper limb, except wrist and hand

Code first · (T51-T65) to identify chemical and intent

T22.6 · Corrosion of second degree of shoulder and upper limb, except wrist and hand

Code first · (T51-T65) to identify chemical and intent

T22.7 · Corrosion of third degree of shoulder and upper limb, except wrist and hand

Code first · (T51-T65) to identify chemical and intent

T23.4 · Corrosion of unspecified degree of wrist and hand

Code first · (T51-T65) to identify chemical and intent

T23.5 · Corrosion of first degree of wrist and hand

Code first · (T51-T65) to identify chemical and intent

T23.6 · Corrosion of second degree of wrist and hand

Code first · (T51-T65) to identify chemical and intent

T23.7 · Corrosion of third degree of wrist and hand

Code first · (T51-T65) to identify chemical and intent

T24.4 · Corrosion of unspecified degree of lower limb, except ankle and foot

Code first · (T51-T65) to identify chemical and intent

T24.5 · Corrosion of first degree of lower limb, except ankle and foot

Code first · (T51-T65) to identify chemical and intent

T24.6 · Corrosion of second degree of lower limb, except ankle and foot

Code first · (T51-T65) to identify chemical and intent

T24.7 · Corrosion of third degree of lower limb, except ankle and foot

Code first · (T51-T65) to identify chemical and intent

T25.4 · Corrosion of unspecified degree of ankle and foot

Code first · (T51-T65) to identify chemical and intent

T25.5 · Corrosion of first degree of ankle and foot

Code first · (T51-T65) to identify chemical and intent

T25.6 · Corrosion of second degree of ankle and foot

Code first · (T51-T65) to identify chemical and intent

T25.7 · Corrosion of third degree of ankle and foot

Code first · (T51-T65) to identify chemical and intent

T26.5 · Corrosion of eyelid and periocular area

Code first · (T51-T65) to identify chemical and intent

T26.6 · Corrosion of cornea and conjunctival sac

Code first · (T51-T65) to identify chemical and intent

T26.7 · Corrosion with resulting rupture and destruction of eyeball

Code first · (T51-T65) to identify chemical and intent

T26.8 · Corrosions of other specified parts of eye and adnexa

Code first · (T51-T65) to identify chemical and intent

T26.9 · Corrosion of eye and adnexa, part unspecified

Code first · (T51-T65) to identify chemical and intent

T27.4 · Corrosion of larynx and trachea

Code first · (T51-T65) to identify chemical and intent

T27.5 · Corrosion involving larynx and trachea with lung

Code first · (T51-T65) to identify chemical and intent

T27.6 · Corrosion of other parts of respiratory tract

Code first · (T51-T65) to identify chemical and intent

T27.7 · Corrosion of respiratory tract, part unspecified

Code first · (T51-T65) to identify chemical and intent

T28.5 · Corrosion of mouth and pharynx

Code first · (T51-T65) to identify chemical and intent

T28.6 · Corrosion of esophagus

Code first · (T51-T65) to identify chemical and intent

T28.7 · Corrosion of other parts of alimentary tract

Code first · (T51-T65) to identify chemical and intent

T28.8 · Corrosion of internal genitourinary organs

Code first · (T51-T65) to identify chemical and intent

T28.9 · Corrosions of other and unspecified internal organs

Code first · (T51-T65) to identify chemical and intent

T81 · Complications of procedures, not elsewhere classified

Excludes 2 · poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)

T88 · Other complications of surgical and medical care, not elsewhere classified

Excludes 2 · poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)

Z77 · Other contact with and (suspected) exposures hazardous to health

Excludes 2 · toxic effects of substances chiefly nonmedicinal as to source (T51-T65)

sections/T80-T88 · Complications of surgical and medical care, not elsewhere classified (T80-T88)

Excludes 2 · poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)