T56.92 vs T56.93
T56.92 (Toxic effect of unspecified metal, intentional self-harm) compared with T56.93 (Toxic effect of unspecified metal, assault), from the official CMS tabular data. T56.92 and T56.93 code the same substance (Metals) with a different intent.
Can these codes be reported together?
Same substance, different intent. T56.92 and T56.93 code the same substance (Metals) 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
| T56.92Toxic effect of unspecified metal, intentional self-harm | T56.93Toxic effect of unspecified metal, 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 unspecified metal, intentional self-harm is a non-billable ICD-10-CM category code (T56.92). | Toxic effect of unspecified metal, assault is a non-billable ICD-10-CM category code (T56.93). |
| 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