2025 ICD-10-CM code T62

Toxic effect of other noxious substances eaten as food.

Always refer to the official ICD-10-CM coding guidelines and the most current version of the code set for the most up-to-date coding instructions.

Modifiers may be applicable depending on the circumstances of the encounter and the services provided.Consult the most up-to-date guidelines for modifier usage.

Medical necessity is established by the presence of clinically significant symptoms or complications resulting from the ingestion of a noxious substance.This would justify the evaluation, treatment, and monitoring required for managing the toxic effects. Documentation of symptoms, laboratory results, and the physician's rationale for treatment are crucial for establishing medical necessity.

The clinical responsibility includes assessment of the patient's condition, identifying the ingested substance (if possible), providing appropriate treatment for the toxic effect, and monitoring the patient for complications.Depending on the severity of poisoning, further management might involve specialists like toxicologists.

IMPORTANT Additional codes may be necessary to specify the ingested substance (e.g., specific types of mushrooms, berries, or plants) and the intent (accidental, intentional self-harm, assault, undetermined).Consider using additional codes from Chapter 20 (External causes of morbidity) to indicate the cause of the poisoning. If a retained foreign body is involved, use code(s) from category Z18.-

In simple words: This code is used when someone gets sick from eating something poisonous that's not a medicine. This could be from plants, berries, mushrooms, or other food that is contaminated with toxins. The doctor will need more information to determine exactly what was eaten and why it was eaten to give a more accurate code.

This code classifies the toxic effect resulting from ingesting substances other than medicinal ones that are consumed as food.It encompasses a broad range of poisonous substances found in food sources, excluding those specifically listed elsewhere in the ICD-10-CM classification.Further specification is needed to identify the specific substance ingested and the circumstances of ingestion (accidental, intentional self-harm, assault, undetermined).

Example 1: A child accidentally ingests wild mushrooms while playing outdoors, resulting in gastrointestinal distress and neurological symptoms. Code T62.0X1 would be used, along with additional codes to specify the type of mushroom and the symptoms., An adult intentionally consumes a poisonous plant in a suicide attempt, leading to significant organ damage. The code T62.0X2 would be applied, along with codes for the specific plant and the resulting complications., A person is poisoned after consuming contaminated food at a restaurant.Code T62.91X1 could be used, along with codes for the specific symptoms and the food source. Further investigation is required to determine the exact toxin and assign a more specific code, if possible.

Detailed patient history including the suspected ingested substance(s), the amount ingested, the time of ingestion, and the circumstances surrounding the ingestion are essential.Complete documentation of symptoms, laboratory results (toxicology screening), and treatment provided is also necessary.If possible, a sample of the ingested substance should be collected for analysis.

** When coding for poisoning, ensure to use additional codes for specifying the ingested substance, the intent, and the resulting symptoms. Always consult the most current ICD-10-CM coding guidelines for the most accurate coding.

  • Payment Status: Active
  • Modifier TC rule: This is not applicable to this ICD code
  • Specialties:Emergency Medicine, Toxicology, Internal Medicine, Gastroenterology
  • Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office, Urgent Care Facility
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