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T51.8X3 vs T51.8X4

T51.8X3 (Toxic effect of other alcohols, assault) compared with T51.8X4 (Toxic effect of other alcohols, undetermined), from the official CMS tabular data. T51.8X3 and T51.8X4 code the same substance (Bay) with a different intent.

Relationship

Informational

Drug table relationship

T51.8X3
Toxic effect of other alcohols, assault
T51.8X4
Toxic effect of other alcohols, undetermined

Same substance, different circumstance of exposure.

Same substance — undetermined intent (Bay)

Accidental poisoning, intentional self-harm, assault, undetermined intent, adverse effect and underdosing are mutually exclusive columns — exactly one applies to a given encounter.

Source: CMS Table of Drugs and Chemicals

Can these codes be reported together?

Same substance, different intent. T51.8X3 and T51.8X4 code the same substance (Bay) with a different circumstance of exposure.

From the CMS Table of Drugs and Chemicals: accidental poisoning, intentional self-harm, assault, undetermined intent, adverse effect and underdosing are mutually exclusive columns — only one of them applies to a given encounter.

Side by side

T51.8X3Toxic effect of other alcohols, assaultT51.8X4Toxic effect of other alcohols, undetermined
Billing statusNon-billable header

Report instead: T51.8X3A, T51.8X3D, T51.8X3S

Non-billable header

Report instead: T51.8X4A, T51.8X4D, T51.8X4S

ClassificationS00-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)
DefinitionToxic effect of other alcohols, assault is a non-billable ICD-10-CM category code (T51.8X3).Toxic effect of other alcohols, undetermined is a non-billable ICD-10-CM category code (T51.8X4).
7th characterThe appropriate 7th character is to be added to each code from category T51The appropriate 7th character is to be added to each code from category T51
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)
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)

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