T49.3X2A vs T49.3X2D

T49.3X2A (Poisoning by emollients, demulcents and protectants, intentional self-harm, initial encounter) compared with T49.3X2D (Poisoning by emollients, demulcents and protectants, intentional self-harm, subsequent encounter), from the official CMS tabular data. T49.3X2A and T49.3X2D code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

T49.3X2A

Initial encounter

Poisoning by emollients, demulcents and protectants, intentional self-harm, initial encounter

↔

T49.3X2D

Subsequent encounter

Poisoning by emollients, demulcents and protectants, intentional self-harm, subsequent encounter

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. T49.3X2A and T49.3X2D code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

	T49.3X2APoisoning by emollients, demulcents and protectants, intentional self-harm, initial encounter	T49.3X2DPoisoning by emollients, demulcents and protectants, intentional self-harm, subsequent encounter
Billing status	Billable	Billable
Classification	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
Definition	Poisoning by emollients, demulcents and protectants, intentional self-harm, initial encounter is a billable ICD-10-CM diagnosis code (T49.3X2A).	Poisoning by emollients, demulcents and protectants, intentional self-harm, subsequent encounter is a billable ICD-10-CM diagnosis code (T49.3X2D).
7th character	The appropriate 7th character is to be added to each code from category T49	The appropriate 7th character is to be added to each code from category T49
Includes	poisoning by, adverse effect of and underdosing of glucocorticoids, topically used adverse effect of correct substance properly administered poisoning by overdose of substance poisoning by wrong substance given or taken in error	poisoning by, adverse effect of and underdosing of glucocorticoids, topically used adverse effect of correct substance properly administered poisoning by overdose of substance poisoning by wrong substance given or taken in error
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)	code(s) to specify: manifestations of poisoning underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
Code first	, for adverse effects, the nature of the adverse effect, such as: adverse effect NOS (T88.7)	, for adverse effects, the nature of the adverse effect, such as: adverse effect NOS (T88.7)

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources