T50.912A ICD-10-CM Code: Poisoning by multiple unspecified drugs, medicaments and biological substances, 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
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T50.912A 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).
- toxic reaction to local anesthesia in pregnancy (O29.3-) Compare T50.912A vs O29.3 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- abuse and dependence of psychoactive substances (F10-F19) Compare T50.912A vs F10 →
- abuse of non-dependence-producing substances (F55.-) Compare T50.912A vs F55 →
- immunodeficiency due to drugs (D84.821) Compare T50.912A vs D84.821 →
- drug reaction and poisoning affecting newborn (P00-P96) Compare T50.912A vs P00 →
- pathological drug intoxication (inebriation) (F10-F19) Compare T50.912A vs F10 →
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)
Code Also
Additional codes that may be required to fully describe the encounter.
- any specific drugs, medicaments and biological substances
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
- FY2020 — 2019-10-01Added to the code setPoisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm, initial encounterFY2020 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.
Contextual Map
Every relationship of T50.912A in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- T50.912 — Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm [Hierarchy]
Referenced by Excludes1 notes
- T38 — Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified [Excludes1](via T50.9.-): “parathyroid hormones and derivatives (T50.9-)”
Referenced by Use Additional Code instructions
- G61.1 — Serum neuropathy [Use Additional Code](via T50.-): “code for adverse effect, if applicable, to identify serum (T50.-)”
Clinical classification (CCSR)
- MBD012 — Suicidal ideation/attempt/intentional self-harm [CCSR]
- EXT014 — External cause codes: poisoning by drug [CCSR]
- EXT021 — External cause codes: intent of injury, self-harm [CCSR]
- INJ022 — Poisoning by drugs, initial encounter [CCSR]
Risk adjustment (CMS-HCC)
- HCC 155 — Major Depression, Moderate or Severe, without Psychosis [CMS-HCC]
Potential MS-DRG
- DRG 917 — POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC [MS-DRG]: “POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC (MDC 21)”
- DRG 918 — POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC [MS-DRG]: “POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC (MDC 21)”
Nearest codes (40)
- T50 — Poisoning by, adverse effect of and underdosing of diuretics and other and unspecified drugs, medicaments and biological substances [Sibling]
- T50.903D — Poisoning by unspecified drugs, medicaments and biological substances, assault, subsequent encounter [Sibling]
- T50.903S — Poisoning by unspecified drugs, medicaments and biological substances, assault, sequela [Sibling]
- T50.904 — Poisoning by unspecified drugs, medicaments and biological substances, undetermined [Sibling]
- T50.904A — Poisoning by unspecified drugs, medicaments and biological substances, undetermined, initial encounter [Sibling]
- T50.904D — Poisoning by unspecified drugs, medicaments and biological substances, undetermined, subsequent encounter [Sibling]
- T50.904S — Poisoning by unspecified drugs, medicaments and biological substances, undetermined, sequela [Sibling]
- T50.905 — Adverse effect of unspecified drugs, medicaments and biological substances [Sibling]
- and 32 more
Change history
- FY2020 — Added to the code set [Change history]
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.
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 T50.912A or its code family.
1 Excludes1 notes: T38 (via T50.9.-).
1 Use Additional Code instructions: G61.1 (via T50.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T50.912A require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T50.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T50.912A in its code family, with their registry titles.
- T50.911 — Poisoning by multiple unspecified drugs, medicaments and biological substances, accidental (unintentional)
- T50.911A — Poisoning by multiple unspecified drugs, medicaments and biological substances, accidental (unintentional), initial encounter
- T50.911D — Poisoning by multiple unspecified drugs, medicaments and biological substances, accidental (unintentional), subsequent encounter
- T50.911S — Poisoning by multiple unspecified drugs, medicaments and biological substances, accidental (unintentional), sequela
- T50.912 — Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm
- T50.912D — Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm, subsequent encounter
- T50.912S — Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm, sequela
- T50.913 — Poisoning by multiple unspecified drugs, medicaments and biological substances, assault
- T50.913A — Poisoning by multiple unspecified drugs, medicaments and biological substances, assault, initial encounter
- T50.913D — Poisoning by multiple unspecified drugs, medicaments and biological substances, assault, subsequent encounter
Associated Substances (1)
Substances from the official ICD-10-CM Table of Drugs and Chemicals that map to this code.
- Multiple unspecified drugs, medicaments and biological substances