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T57.8X2 vs T57.8X4

T57.8X2 (Toxic effect of other specified inorganic substances, intentional self-harm) compared with T57.8X4 (Toxic effect of other specified inorganic substances, undetermined), from the official CMS tabular data. T57.8X2 and T57.8X4 code the same substance (Asbestos) with a different intent.

Relationship

Informational

Drug table relationship

T57.8X2
Toxic effect of other specified inorganic substances, intentional self-harm
↔
T57.8X4
Toxic effect of other specified inorganic substances, undetermined

Same substance, different circumstance of exposure.

Same substance — undetermined intent (Asbestos)

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. T57.8X2 and T57.8X4 code the same substance (Asbestos) 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

T57.8X2Toxic effect of other specified inorganic substances, intentional self-harmT57.8X4Toxic effect of other specified inorganic substances, undetermined
Billing statusNon-billable headerNon-billable header
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 specified inorganic substances, intentional self-harm is a non-billable ICD-10-CM category code (T57.8X2).Toxic effect of other specified inorganic substances, undetermined is a non-billable ICD-10-CM category code (T57.8X4).
7th characterThe appropriate 7th character is to be added to each code from category T57The appropriate 7th character is to be added to each code from category T57
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