T53.92XA ICD-10-CM Code: Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, 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 T53.92XA in the official ICD-10-CM tabular list.
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).
- contact with and (suspected) exposure to toxic substances (Z77.-) Compare T53.92XA vs Z77 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
Frequently Compared Codes
The official Excludes notes on T53.92XA name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
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 T53.92XA 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
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
- T51-T65 — Toxic effects of substances chiefly nonmedicinal as to source [Hierarchy]
Referenced by Excludes1 notes
- T52 — Toxic effect of organic solvents [Excludes1](via T53.-): “halogen derivatives of aliphatic and aromatic hydrocarbons (T53.-)” · check together
- T60.1 — Toxic effect of halogenated insecticides [Excludes1](via T53.-): “chlorinated hydrocarbon (T53.-)” · check together
Clinical classification (CCSR)
- MBD012 — Suicidal ideation/attempt/intentional self-harm [CCSR]
- EXT015 — External cause codes: poisoning by non-drug [CCSR]
- EXT021 — External cause codes: intent of injury, self-harm [CCSR]
- INJ023 — Toxic effects, 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)”
MDC crossing · procedures (32029)
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 0016070 — Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016071 — Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016072 — Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016073 — Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016074 — Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- and 32024 more
Nearest codes (40)
- T53 — Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons [Sibling]
- T53.6X3D — Toxic effect of other halogen derivatives of aliphatic hydrocarbons, assault, subsequent encounter [Sibling]
- T53.6X3S — Toxic effect of other halogen derivatives of aliphatic hydrocarbons, assault, sequela [Sibling]
- T53.6X4 — Toxic effect of other halogen derivatives of aliphatic hydrocarbons, undetermined [Sibling]
- T53.6X4A — Toxic effect of other halogen derivatives of aliphatic hydrocarbons, undetermined, initial encounter [Sibling]
- T53.6X4D — Toxic effect of other halogen derivatives of aliphatic hydrocarbons, undetermined, subsequent encounter [Sibling]
- T53.6X4S — Toxic effect of other halogen derivatives of aliphatic hydrocarbons, undetermined, sequela [Sibling]
- T53.7 — Toxic effects of other halogen derivatives of aromatic hydrocarbons [Sibling]
- and 32 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):MBD012 — Suicidal ideation/attempt/intentional self-harm (default); EXT015 — External cause codes: poisoning by non-drug; EXT021 — External cause codes: intent of injury, self-harm; INJ023 — Toxic effects, 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 T53.92XA or its code family.
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T53.92XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T53.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T53.92XA in its code family, with their registry titles.
- T53.91 — Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, accidental (unintentional)
- T53.91XA — Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, accidental (unintentional), initial encounter
- T53.91XD — Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, accidental (unintentional), subsequent encounter
- T53.91XS — Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, accidental (unintentional), sequela
- T53.92 — Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, intentional self-harm
- T53.92XD — Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, intentional self-harm, subsequent encounter
- T53.92XS — Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, intentional self-harm, sequela
- T53.93 — Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, assault
- T53.93XA — Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, assault, initial encounter
- T53.93XD — Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, assault, subsequent encounter