ICD-10-CM › S00-T88 › T36-T50 › T codes › T40

T40

Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens]

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 10 more specific codes instead:

  • T40.0 Poisoning by, adverse effect of and underdosing of opium (also a header)
  • T40.1 Poisoning by and adverse effect of heroin (also a header)
  • T40.2 Poisoning by, adverse effect of and underdosing of other opioids (also a header)
  • T40.3 Poisoning by, adverse effect of and underdosing of methadone (also a header)
  • T40.4 Poisoning by, adverse effect of and underdosing of other synthetic narcotics (also a header)
  • T40.5 Poisoning by, adverse effect of and underdosing of cocaine (also a header)
  • T40.6 Poisoning by, adverse effect of and underdosing of other and unspecified narcotics (also a header)
  • T40.7 Poisoning by, adverse effect of and underdosing of cannabis (derivatives) (also a header)
  • T40.8 Poisoning by and adverse effect of lysergide [LSD] (also a header)
  • T40.9 Poisoning by, adverse effect of and underdosing of other and unspecified psychodysleptics [hallucinogens] (also a header)

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2012 Added to the draft code set draft Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens]

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

This code

Seventh character required

  • The appropriate 7th character is to be added to each code from category T40

Excludes2 - not included here

  • drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.-F19.-)

Inherited from the T36-T50 section Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50)

Excludes1 - never coded here

  • toxic reaction to local anesthesia in pregnancy (O29.3-)

Excludes2 - not included here

  • abuse and dependence of psychoactive substances (F10-F19)
  • abuse of non-dependence-producing substances (F55.-)
  • immunodeficiency due to drugs (D84.821)
  • drug reaction and poisoning affecting newborn (P00-P96)
  • pathological drug intoxication (inebriation) (F10-F19)

Use additional code

  • code(s) to specify:
  • manifestations of poisoning
  • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
  • underdosing of medication regimen (Z91.12-, Z91.13-)

Code first

  • , for adverse effects, the nature of the adverse effect, such as:
  • adverse effect NOS (T88.7)
  • aspirin gastritis (K29.-)
  • blood disorders (D56-D76)
  • contact dermatitis (L23-L25)
  • dermatitis due to substances taken internally (L27.-)
  • nephropathy (N14.0-N14.2)

Includes

  • adverse effect of correct substance properly administered
  • poisoning by overdose of substance
  • poisoning by wrong substance given or taken in error
  • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed

Note

  • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.