T40.0X2A is the authoritative medical code for Poisoning by opium, intentional self-harm, initial encounter. This classification is used in medical billing and clinical recording to specify the clinical criteria for poisoning by opium, intentional self-harm, initial encounter (ICD-10-CM T40.0X2A), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Poisoning by opium, intentional self-harm, initial encounter is a billable ICD-10-CM diagnosis code T40.0X2A. Includes: adverse effect of correct substance properly administered; poisoning by overdose of substance; poisoning by wrong substance given or taken in error; underdosing by (inadvertently) deliberately taking less substance than prescribed or instructed. Excludes1 (not coded here): toxic reaction to local anesthesia in pregnancy O29.3-. Excludes2 (not included here): drug dependence and related mental and behavioral disorders due to psychoactive substance use F10.-F19.-; abuse and dependence of psychoactive substances F10-F19; abuse of non-dependence-producing substances F55.-; immunodeficiency due to drugs D84.821; drug reaction and poisoning affecting newborn P00-P96; pathological drug intoxication inebriation F10-F19. Code first: , for adverse effects, the nature of the adverse effect, such as:; adverse effect NOS T88.7; aspirin gastritis K29.-; blood disorders D56-D76; contact dermatitis L23-L25; dermatitis due to substances taken internally L27.-; nephropathy N14.0-N14.2. Use additional code: code(s) to specify:; manifestations of poisoning; underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9); underdosing of medication regimen (Z91.12-, Z91.13-). 7th character: The appropriate 7th character is to be added to each code from category T40.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T40.0X2A in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- adverse effect of correct substance properly administered
- poisoning by overdose of substance
- poisoning by wrong substance given or taken in error
- underdosing by (inadvertently) deliberately taking less substance than prescribed or instructed
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- toxic reaction to local anesthesia in pregnancy O29.3-
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- drug dependence and related mental and behavioral disorders due to psychoactive substance use F10.-F19.-
- abuse and dependence of psychoactive substances F10-F19
- abuse of non-dependence-producing substances F55.-
- immunodeficiency due to drugs D84.821
- drug reaction and poisoning affecting newborn P00-P96
- pathological drug intoxication inebriation F10-F19
Code First
Underlying conditions that must be sequenced before this code.
- , for adverse effects, the nature of the adverse effect, such as:
- adverse effect NOS T88.7
- aspirin gastritis K29.-
- blood disorders D56-D76
- contact dermatitis L23-L25
- dermatitis due to substances taken internally L27.-
- nephropathy N14.0-N14.2
Use Additional Code
Supplementary codes the tabular list directs you to add.
- code(s) to specify:
- manifestations of poisoning
- underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
- underdosing of medication regimen (Z91.12-, Z91.13-)
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T40.0X2A require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T40.
What can't be coded together with T40.0X2A?
Per Excludes1 instructions, T40.0X2A must not be reported with: toxic reaction to local anesthesia in pregnancy (O29.3-).
Can T40.0X2A be reported alongside related conditions?
Per Excludes2 instructions, T40.0X2A and the following may both be reported when both are present: drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.-F19.-); abuse and dependence of psychoactive substances (F10-F19); abuse of non-dependence-producing substances (F55.-); immunodeficiency due to drugs (D84.821).
Does T40.0X2A need to be sequenced after another code?
Yes. Code first: , for adverse effects, the nature of the adverse effect, such as:; adverse effect NOS (T88.7); aspirin gastritis (K29.-); blood disorders (D56-D76).
Is an additional code needed with T40.0X2A?
Use additional code(s) to specify: code(s) to specify:; manifestations of poisoning; underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9); underdosing of medication regimen (Z91.12-, Z91.13-).
Codes in This Family (40)
Official ICD-10-CM classifications in the same code family as T40.0X2A, with their registry titles.
- T40 — Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens]
- T40.0 — Poisoning by, adverse effect of and underdosing of opium
- T40.0X — Poisoning by, adverse effect of and underdosing of opium
- T40.0X1 — Poisoning by opium, accidental (unintentional)
- T40.0X1A — Poisoning by opium, accidental (unintentional), initial encounter
- T40.0X1D — Poisoning by opium, accidental (unintentional), subsequent encounter
- T40.0X1S — Poisoning by opium, accidental (unintentional), sequela
- T40.0X2 — Poisoning by opium, intentional self-harm
- T40.0X2D — Poisoning by opium, intentional self-harm, subsequent encounter
- T40.0X2S — Poisoning by opium, intentional self-harm, sequela
- T40.0X3 — Poisoning by opium, assault
- T40.0X3A — Poisoning by opium, assault, initial encounter
- T40.0X3D — Poisoning by opium, assault, subsequent encounter
- T40.0X3S — Poisoning by opium, assault, sequela
- T40.0X4 — Poisoning by opium, undetermined
- T40.0X4A — Poisoning by opium, undetermined, initial encounter
- T40.0X4D — Poisoning by opium, undetermined, subsequent encounter
- T40.0X4S — Poisoning by opium, undetermined, sequela
- T40.0X5 — Adverse effect of opium
- T40.0X5A — Adverse effect of opium, initial encounter
- T40.0X5D — Adverse effect of opium, subsequent encounter
- T40.0X5S — Adverse effect of opium, sequela
- T40.0X6 — Underdosing of opium
- T40.0X6A — Underdosing of opium, initial encounter
- T40.0X6D — Underdosing of opium, subsequent encounter
- T40.0X6S — Underdosing of opium, sequela
- T40.1 — Poisoning by and adverse effect of heroin
- T40.1X — Poisoning by and adverse effect of heroin
- T40.1X1 — Poisoning by heroin, accidental (unintentional)
- T40.1X1A — Poisoning by heroin, accidental (unintentional), initial encounter
- T40.1X1D — Poisoning by heroin, accidental (unintentional), subsequent encounter
- T40.1X1S — Poisoning by heroin, accidental (unintentional), sequela
- T40.1X2 — Poisoning by heroin, intentional self-harm
- T40.1X2A — Poisoning by heroin, intentional self-harm, initial encounter
- T40.1X2D — Poisoning by heroin, intentional self-harm, subsequent encounter
- T40.1X2S — Poisoning by heroin, intentional self-harm, sequela
- T40.1X3 — Poisoning by heroin, assault
- T40.1X3A — Poisoning by heroin, assault, initial encounter
- T40.1X3D — Poisoning by heroin, assault, subsequent encounter
- T40.1X3S — Poisoning by heroin, assault, sequela
Associated Substances (5)
Substances from the official ICD-10-CM Table of Drugs and Chemicals that map to this code.
- Laudanum
- Opium alkaloids (total)
- Pantopon
- Papaveretum
- Paregoric
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:
ICD Code T37.0X2A
Poisoning by sulfonamides, intentional self-harm, initial encounter
ICD Code T38.0X2A
Poisoning by glucocorticoids and synthetic analogues, intentional self-harm, initial encounter
ICD Code T41.0X2A
Poisoning by inhaled anesthetics, intentional self-harm, initial encounter
ICD Code T42.0X2A
Poisoning by hydantoin derivatives, intentional self-harm, initial encounter
ICD Code T44.0X2A
Poisoning by anticholinesterase agents, intentional self-harm, initial encounter
ICD Code T45.0X2A
Poisoning by antiallergic and antiemetic drugs, intentional self-harm, initial encounter