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ICD-10/T40.722A

T40.722A ICD-10-CM Code: Poisoning by synthetic cannabinoids, intentional self-harm, initial encounter

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 917 — POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC (MDC 21)
  • MS-DRG 918 — POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC (MDC 21)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Risk Adjustment (CMS-HCC)

Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.

  • HCC 155 — Major Depression, Moderate or Severe, without Psychosis

Other models: CMS-HCC V22 HCC 58 · RxHCC V08 HCC 132

Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.

Official Registry Overview & Definition

Poisoning by synthetic cannabinoids, intentional self-harm, initial encounter is a billable ICD-10-CM diagnosis code (T40.722A).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T40.722A 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 generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code First

Underlying conditions that must be sequenced before this code.

  • 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

Supplementary codes the tabular list directs you to add.

  • Use additional 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-)

Change history

  • FY2022 — 2021-10-01
    Added to the code set
    Poisoning by synthetic cannabinoids, intentional self-harm, initial encounter
    FY2022 changes

Verify Before Coding

  • Billable — reportable as written.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Referenced by Other Codes

Clinical classification (AHRQ CCSR):MBD012 — Suicidal ideation/attempt/intentional self-harm (default); EXT014 — External cause codes: poisoning by drug; EXT021 — External cause codes: intent of injury, self-harm; INJ022 — Poisoning by drugs, initial encounter; MBD019 — Cannabis-related disorders.

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 2 MS-DRGs: DRG 917 (MDC 21), DRG 918 (MDC 21).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name T40.722A or its code family.

2 Excludes2 notes across 2 chapters: F12.2 (via T40.7.-), T43 (via T40.7.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Does T40.722A require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category T40.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to T40.722A in its code family, with their registry titles.

  • T40.721 — Poisoning by synthetic cannabinoids, accidental (unintentional)
  • T40.721A — Poisoning by synthetic cannabinoids, accidental (unintentional), initial encounter
  • T40.721D — Poisoning by synthetic cannabinoids, accidental (unintentional), subsequent encounter
  • T40.721S — Poisoning by synthetic cannabinoids, accidental (unintentional), sequela
  • T40.722 — Poisoning by synthetic cannabinoids, intentional self-harm
  • T40.722D — Poisoning by synthetic cannabinoids, intentional self-harm, subsequent encounter
  • T40.722S — Poisoning by synthetic cannabinoids, intentional self-harm, sequela
  • T40.723 — Poisoning by synthetic cannabinoids, assault
  • T40.723A — Poisoning by synthetic cannabinoids, assault, initial encounter
  • T40.723D — Poisoning by synthetic cannabinoids, assault, subsequent encounter

View all codes in the T40 family

Associated Substances (2)

Substances from the official ICD-10-CM Table of Drugs and Chemicals that map to this code.

  • Cannabinoids, synthetic
  • Synthetic cannabinoids