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T51.92XA vs T51.92XD

T51.92XA (Toxic effect of unspecified alcohol, intentional self-harm, initial encounter) compared with T51.92XD (Toxic effect of unspecified alcohol, intentional self-harm, subsequent encounter), from the official CMS tabular data. T51.92XA and T51.92XD code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. T51.92XA and T51.92XD 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

T51.92XAToxic effect of unspecified alcohol, intentional self-harm, initial encounterT51.92XDToxic effect of unspecified alcohol, intentional self-harm, subsequent encounter
Billing statusBillableBillable
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 unspecified alcohol, intentional self-harm, initial encounter is a billable ICD-10-CM diagnosis code (T51.92A).Toxic effect of unspecified alcohol, intentional self-harm, subsequent encounter is a billable ICD-10-CM diagnosis code (T51.92D).
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)
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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