T56.5X2 (Toxic effect of zinc and its compounds, intentional self-harm) compared with T56.5X3 (Toxic effect of zinc and its compounds, assault), from the official CMS tabular data. T56.5X2 and T56.5X3 code the same substance (ZincNEC) with a different intent.
Same substance, different circumstance of exposure.
Same substance — assault (ZincNEC)
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
Same substance, different intent. T56.5X2 and T56.5X3 code the same substance (ZincNEC) 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.
| T56.5X2Toxic effect of zinc and its compounds, intentional self-harm | T56.5X3Toxic effect of zinc and its compounds, assault | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| 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 | Toxic effect of zinc and its compounds, intentional self-harm is a non-billable ICD-10-CM category code (T56.5X2). | Toxic effect of zinc and its compounds, assault is a non-billable ICD-10-CM category code (T56.5X3). |
| 7th character | The appropriate 7th character is to be added to each code from category T56 | The appropriate 7th character is to be added to each code from category T56 |
| Includes | toxic effects of fumes and vapors of metals toxic effects of metals from all sources, except medicinal substances | toxic effects of fumes and vapors of metals toxic effects of metals from all sources, except medicinal substances |
| Use additional code | code to identify any retained metal foreign body, if applicable (Z18.0-, T18.1-) code(s): for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70) | code to identify any retained metal foreign body, if applicable (Z18.0-, T18.1-) code(s): for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources