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T59.7X1 vs T59.7X2

T59.7X1 (Toxic effect of carbon dioxide, accidental (unintentional)) compared with T59.7X2 (Toxic effect of carbon dioxide, intentional self-harm), from the official CMS tabular data. T59.7X1 and T59.7X2 code the same substance (Carbonic) with a different intent. MedCoder-derived

Relationship

Informational

Drug table relationship

T59.7X1
Toxic effect of carbon dioxide, accidental (unintentional)
T59.7X2
Toxic effect of carbon dioxide, intentional self-harm

Same substance, different circumstance of exposure.

Same substance — intentional self-harm (Carbonic)

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. T59.7X1 and T59.7X2 code the same substance (Carbonic) with a different circumstance of exposure.

From the CMS/CDC 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

T59.7X1Toxic effect of carbon dioxide, accidental (unintentional)T59.7X2Toxic effect of carbon dioxide, intentional self-harm
Billing statusNon-billable header

Report instead: T59.7X1A, T59.7X1D, T59.7X1S

Non-billable header

Report instead: T59.7X2A, T59.7X2D, T59.7X2S

ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionToxic effect of carbon dioxide, accidental (unintentional) is a non-billable ICD-10-CM category code (T59.7X1).Toxic effect of carbon dioxide, intentional self-harm is a non-billable ICD-10-CM category code (T59.7X2).
7th characterThe appropriate 7th character is to be added to each code from category T59The appropriate 7th character is to be added to each code from category T59
Includes
aerosol propellants
Toxic effect of carbon dioxide NOS
aerosol propellants
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