Toxic effect of corrosive substances
In Toxic effects of substances chiefly nonmedicinal as to source (T51-T65), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes
60 billable codes under T54: none are a CC or MCC; 5 map to HCC 155 (Major Depression, Moderate or Severe, without Psychosis).An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Also applies, from Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
These notes sit on T51-T65 and apply to every code under it, including T54.
Excludes1: not coded here, use a different code
- contact with and (suspected) exposure to toxic substances (Z77.-)
Use additional code: add a second code for this, listed after this one
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
- Section I.C.19.e Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82), covers T54
For adverse effects, code the effect first, then T36-T50 with character 5. Sequence poisonings (unknown intent coded accidental) and toxic effects (T51-T65) first; underdosing (character 6) is never first-listed.
Other Chapter 19 topics:
- Application of 7th Characters in Chapter 19 (page 77)
- Coding of Injuries (page 78)
- Coding of Traumatic Fractures (page 79)
- Coding of Burns and Corrosions (page 80)
- Adult and child abuse, neglect and other maltreatment (page 85)
- Complications of care (page 85)
All codes under T54
T54 can't be used on a claim. Pick a billable code below; grey headings group them.
- T54.0Toxic effects of phenol and phenol homologues
- T54.0XToxic effects of phenol and phenol homologues
- T54.0X1Toxic effect of phenol and phenol homologues, accidental (unintentional)
- T54.0X1AToxic effect of phenol and phenol homologues, accidental (unintentional), initial encounter
- T54.0X1DToxic effect of phenol and phenol homologues, accidental (unintentional), subsequent encounter
- T54.0X1SToxic effect of phenol and phenol homologues, accidental (unintentional), sequela
- T54.0X2Toxic effect of phenol and phenol homologues, intentional self-harm
- T54.0X2AToxic effect of phenol and phenol homologues, intentional self-harm, initial encounter
- T54.0X2DToxic effect of phenol and phenol homologues, intentional self-harm, subsequent encounter
- T54.0X2SToxic effect of phenol and phenol homologues, intentional self-harm, sequela
- T54.0X3Toxic effect of phenol and phenol homologues, assault
- T54.0X3AToxic effect of phenol and phenol homologues, assault, initial encounter
- T54.0X3DToxic effect of phenol and phenol homologues, assault, subsequent encounter
- T54.0X3SToxic effect of phenol and phenol homologues, assault, sequela
- T54.0X4Toxic effect of phenol and phenol homologues, undetermined
- T54.0X4AToxic effect of phenol and phenol homologues, undetermined, initial encounter
- T54.0X4DToxic effect of phenol and phenol homologues, undetermined, subsequent encounter
- T54.0X4SToxic effect of phenol and phenol homologues, undetermined, sequela
- T54.1Toxic effects of other corrosive organic compounds
- T54.1XToxic effects of other corrosive organic compounds
- T54.1X1Toxic effect of other corrosive organic compounds, accidental (unintentional)
- T54.1X1AToxic effect of other corrosive organic compounds, accidental (unintentional), initial encounter
- T54.1X1DToxic effect of other corrosive organic compounds, accidental (unintentional), subsequent encounter
- T54.1X1SToxic effect of other corrosive organic compounds, accidental (unintentional), sequela
- T54.1X2Toxic effect of other corrosive organic compounds, intentional self-harm
- T54.1X2AToxic effect of other corrosive organic compounds, intentional self-harm, initial encounter
- T54.1X2DToxic effect of other corrosive organic compounds, intentional self-harm, subsequent encounter
- T54.1X2SToxic effect of other corrosive organic compounds, intentional self-harm, sequela
- T54.1X3Toxic effect of other corrosive organic compounds, assault
- T54.1X3AToxic effect of other corrosive organic compounds, assault, initial encounter
- T54.1X3DToxic effect of other corrosive organic compounds, assault, subsequent encounter
- T54.1X3SToxic effect of other corrosive organic compounds, assault, sequela
- T54.1X4Toxic effect of other corrosive organic compounds, undetermined
- T54.1X4AToxic effect of other corrosive organic compounds, undetermined, initial encounter
- T54.1X4DToxic effect of other corrosive organic compounds, undetermined, subsequent encounter
- T54.1X4SToxic effect of other corrosive organic compounds, undetermined, sequela
- T54.2Toxic effects of corrosive acids and acid-like substances
- T54.2XToxic effects of corrosive acids and acid-like substances
- T54.2X1Toxic effect of corrosive acids and acid-like substances, accidental (unintentional)
- T54.2X1AToxic effect of corrosive acids and acid-like substances, accidental (unintentional), initial encounter
- T54.2X1DToxic effect of corrosive acids and acid-like substances, accidental (unintentional), subsequent encounter
- T54.2X1SToxic effect of corrosive acids and acid-like substances, accidental (unintentional), sequela
- T54.2X2Toxic effect of corrosive acids and acid-like substances, intentional self-harm
- T54.2X2AToxic effect of corrosive acids and acid-like substances, intentional self-harm, initial encounter
- T54.2X2DToxic effect of corrosive acids and acid-like substances, intentional self-harm, subsequent encounter
- T54.2X2SToxic effect of corrosive acids and acid-like substances, intentional self-harm, sequela
- T54.2X3Toxic effect of corrosive acids and acid-like substances, assault
- T54.2X3AToxic effect of corrosive acids and acid-like substances, assault, initial encounter
- T54.2X3DToxic effect of corrosive acids and acid-like substances, assault, subsequent encounter
- T54.2X3SToxic effect of corrosive acids and acid-like substances, assault, sequela
- T54.2X4Toxic effect of corrosive acids and acid-like substances, undetermined
- T54.2X4AToxic effect of corrosive acids and acid-like substances, undetermined, initial encounter
- T54.2X4DToxic effect of corrosive acids and acid-like substances, undetermined, subsequent encounter
- T54.2X4SToxic effect of corrosive acids and acid-like substances, undetermined, sequela
- T54.3Toxic effects of corrosive alkalis and alkali-like substances
- T54.3XToxic effects of corrosive alkalis and alkali-like substances
- T54.3X1Toxic effect of corrosive alkalis and alkali-like substances, accidental (unintentional)
- T54.3X1AToxic effect of corrosive alkalis and alkali-like substances, accidental (unintentional), initial encounter
- T54.3X1DToxic effect of corrosive alkalis and alkali-like substances, accidental (unintentional), subsequent encounter
- T54.3X1SToxic effect of corrosive alkalis and alkali-like substances, accidental (unintentional), sequela
- T54.3X2Toxic effect of corrosive alkalis and alkali-like substances, intentional self-harm
- T54.3X2AToxic effect of corrosive alkalis and alkali-like substances, intentional self-harm, initial encounter
- T54.3X2DToxic effect of corrosive alkalis and alkali-like substances, intentional self-harm, subsequent encounter
- T54.3X2SToxic effect of corrosive alkalis and alkali-like substances, intentional self-harm, sequela
- T54.3X3Toxic effect of corrosive alkalis and alkali-like substances, assault
- T54.3X3AToxic effect of corrosive alkalis and alkali-like substances, assault, initial encounter
- T54.3X3DToxic effect of corrosive alkalis and alkali-like substances, assault, subsequent encounter
- T54.3X3SToxic effect of corrosive alkalis and alkali-like substances, assault, sequela
- T54.3X4Toxic effect of corrosive alkalis and alkali-like substances, undetermined
- T54.3X4AToxic effect of corrosive alkalis and alkali-like substances, undetermined, initial encounter
- T54.3X4DToxic effect of corrosive alkalis and alkali-like substances, undetermined, subsequent encounter
- T54.3X4SToxic effect of corrosive alkalis and alkali-like substances, undetermined, sequela
- T54.9Toxic effects of unspecified corrosive substance
- T54.91Toxic effect of unspecified corrosive substance, accidental (unintentional)
- T54.91XAToxic effect of unspecified corrosive substance, accidental (unintentional), initial encounter
- T54.91XDToxic effect of unspecified corrosive substance, accidental (unintentional), subsequent encounter
- T54.91XSToxic effect of unspecified corrosive substance, accidental (unintentional), sequela
- T54.92Toxic effect of unspecified corrosive substance, intentional self-harm
- T54.92XAToxic effect of unspecified corrosive substance, intentional self-harm, initial encounter
- T54.92XDToxic effect of unspecified corrosive substance, intentional self-harm, subsequent encounter
- T54.92XSToxic effect of unspecified corrosive substance, intentional self-harm, sequela
- T54.93Toxic effect of unspecified corrosive substance, assault
- T54.93XAToxic effect of unspecified corrosive substance, assault, initial encounter
- T54.93XDToxic effect of unspecified corrosive substance, assault, subsequent encounter
- T54.93XSToxic effect of unspecified corrosive substance, assault, sequela
- T54.94Toxic effect of unspecified corrosive substance, undetermined
- T54.94XAToxic effect of unspecified corrosive substance, undetermined, initial encounter
- T54.94XDToxic effect of unspecified corrosive substance, undetermined, subsequent encounter
- T54.94XSToxic effect of unspecified corrosive substance, undetermined, sequela
T54 MS-DRGs
As the principal diagnosis, the billable codes under T54 group to MS-DRG 917, 918, 922, 923, 949, or 950 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 917 Poisoning and Toxic Effects of Drugs with MCC (20 of 60 codes)
- DRG 918 Poisoning and Toxic Effects of Drugs without MCC (20 of 60 codes)
- DRG 922 Other Injury, Poisoning and Toxic Effect Diagnoses with MCC (20 of 60 codes)
- DRG 923 Other Injury, Poisoning and Toxic Effect Diagnoses without MCC (20 of 60 codes)
- DRG 949 Aftercare with CC/MCC (20 of 60 codes)
- DRG 950 Aftercare without CC/MCC (20 of 60 codes)
Code history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
