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T65.92XS ICD-10-CM Code: Toxic effect of unspecified substance, intentional self-harm, sequela

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 922 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC (MDC 21)
  • MS-DRG 923 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES 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.

Code Overview

Toxic effect of unspecified substance, intentional self-harm, sequela is a billable ICD-10-CM diagnosis code (T65.92S).

Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T65.92XS 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).

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code(s): inherited from T51-T65
  • for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70) inherited from T51-T65
  • personal history of foreign body fully removed (Z87.821) inherited from T51-T65
  • to identify any retained foreign body, if applicable (Z18.-) inherited from T51-T65

Frequently Compared Codes

The official Excludes notes on T65.92XS name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2016 — 2015-10-01
    In the code set at ICD-10-CM adoption
    Toxic effect of unspecified substance, intentional self-harm, sequela

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

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 in Claim Check.

Relationships & Classification

MS-DRG Grouper 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 922 (MDC 21), DRG 923 (MDC 21).

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

Clinical classification (AHRQ CCSR):MBD034 — Mental and substance use disorders; sequela (default); INJ075 — Poisoning/toxic effect/adverse effects/underdosing, sequela.

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

Related Codes

Same injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

T65.92XA — Toxic effect of unspecified substance, intentional self-harm, initial encounter Compare T65.92XS vs T65.92XA →, T65.92XD — Toxic effect of unspecified substance, intentional self-harm, subsequent encounter

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Mental and substance use disorders; sequela, Poisoning/toxic effect/adverse effects/underdosing, sequela).

+1655 more

Contextual Map

Every relationship of T65.92XS 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]

Clinical classification (CCSR)

  • MBD034 — Mental and substance use disorders; sequela [CCSR]
  • INJ075 — Poisoning/toxic effect/adverse effects/underdosing, sequela [CCSR]

MS-DRG Grouper

  • DRG 922 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC [MS-DRG]: “OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC (MDC 21)”
  • DRG 923 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC [MS-DRG]: “OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES 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)

  • T65 — Toxic effect of other and unspecified substances [Sibling]
  • T65.853A — Toxic effect of medetomidine, assault, initial encounter [Sibling]
  • T65.853D — Toxic effect of medetomidine, assault, subsequent encounter [Sibling]
  • T65.853S — Toxic effect of medetomidine, assault, sequela [Sibling]
  • T65.854 — Toxic effect of medetomidine, undetermined [Sibling]
  • T65.854A — Toxic effect of medetomidine, undetermined, initial encounter [Sibling]
  • T65.854D — Toxic effect of medetomidine, undetermined, subsequent encounter [Sibling]
  • T65.854S — Toxic effect of medetomidine, undetermined, sequela [Sibling]
  • and 32 more

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Does T65.92XS require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category T65.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to T65.92XS in its code family, with their registry titles.

  • T65.91XD — Toxic effect of unspecified substance, accidental (unintentional), subsequent encounter
  • T65.91XS — Toxic effect of unspecified substance, accidental (unintentional), sequela
  • T65.92 — Toxic effect of unspecified substance, intentional self-harm
  • T65.92XA — Toxic effect of unspecified substance, intentional self-harm, initial encounter
  • T65.92XD — Toxic effect of unspecified substance, intentional self-harm, subsequent encounter
  • T65.93 — Toxic effect of unspecified substance, assault
  • T65.93XA — Toxic effect of unspecified substance, assault, initial encounter
  • T65.93XD — Toxic effect of unspecified substance, assault, subsequent encounter
  • T65.93XS — Toxic effect of unspecified substance, assault, sequela
  • T65.94 — Toxic effect of unspecified substance, undetermined

View all codes in the T65 family