2025 ICD-10-CM code T51
Toxic effect of alcohol.
Medical necessity is established by the documented signs, symptoms, and clinical findings related to the toxic effect of alcohol. The documentation must support the need for the medical services provided to diagnose and treat the condition.
The provider is responsible for documenting the specific details of the alcohol-induced toxic effect, including the type of alcohol involved, the amount consumed (if known), the duration of exposure, and the resulting health consequences.Accurate and detailed clinical documentation is crucial for appropriate coding and subsequent research and prevention efforts.
- 20
- Injury, poisoning and certain other consequences of external causes (S00-T88)Injury, poisoning and certain other consequences of external causes (T07-T88)Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
In simple words: Health problems caused by the toxic effects of alcohol.
Toxic effect of alcohol.
Example 1: A patient presents to the emergency department with acute alcohol intoxication exhibiting symptoms such as slurred speech, incoordination, and confusion., A patient with chronic alcoholism is admitted to the hospital with alcoholic hepatitis, a direct result of long-term alcohol abuse., A patient is treated for alcohol withdrawal syndrome, experiencing tremors, anxiety, and hallucinations after attempting to stop drinking.
The documentation should clearly state the toxic effect of alcohol and the specific clinical manifestations observed.It should also include the type of alcohol involved (if known), the circumstances of the exposure, and the patient's history of alcohol use. Any other related conditions or complications should also be documented.
** It is crucial to remember that external cause codes (Chapter 20) are used to provide supplementary data for injury research and evaluation of injury prevention strategies. While voluntary in many cases, some payers or state mandates may require reporting. Adhere to specific payer guidelines for accurate reporting.Also, use additional codes to identify any associated conditions resulting from the toxic effect of alcohol, such as respiratory conditions or any retained foreign body, if applicable.
- Payment Status: Active
- Specialties:Emergency Medicine, Internal Medicine, Family Medicine, Addiction Medicine, Critical Care Medicine
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home,Non-residential Substance Abuse Treatment Facility, Residential Substance Abuse Treatment Facility