ICD-10 · PDGM grouping
T40 Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens]
All 258 codes in the T40 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
258
Can lead a claim
180
Cannot lead a claim
78
What CMS assigns to T40
180 of the 258 codes group to MMTA - Other; 78 are assigned no clinical group. None of the 258 is assigned a comorbidity subgroup. 180 of the 258 can lead a claim.
Every code in T40
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| T40.0 Poisoning by, adverse effect of and underdosing of opium | ||||
| T40.0X Poisoning by, adverse effect of and underdosing of opium | ||||
| T40.0X1 Poisoning by opium, accidental (unintentional) | ||||
| T40.0X1A | Poisoning by opium, accidental (unintentional), initial encounterCMS: Poisoning by opium, accidental (unintentional), init encntr | Can lead a claim | A | None |
| T40.0X1D | Poisoning by opium, accidental (unintentional), subsequent encounterCMS: Poisoning by opium, accidental (unintentional), subs encntr | Can lead a claim | A | None |
| T40.0X1S | Poisoning by opium, accidental (unintentional), sequela | Can lead a claim | A | None |
| T40.0X2 Poisoning by opium, intentional self-harm | ||||
| T40.0X2A | Poisoning by opium, intentional self-harm, initial encounter | Can lead a claim | A | None |
| T40.0X2D | Poisoning by opium, intentional self-harm, subsequent encounterCMS: Poisoning by opium, intentional self-harm, subs encntr | Can lead a claim | A | None |
| T40.0X2S | Poisoning by opium, intentional self-harm, sequela | Can lead a claim | A | None |
| T40.0X3 Poisoning by opium, assault | ||||
| T40.0X3A | Poisoning by opium, assault, initial encounter | Can lead a claim | A | None |
| T40.0X3D | Poisoning by opium, assault, subsequent encounter | Can lead a claim | A | None |
| T40.0X3S | Poisoning by opium, assault, sequela | Can lead a claim | A | None |
| T40.0X4 Poisoning by opium, undetermined | ||||
| T40.0X4A | Poisoning by opium, undetermined, initial encounter | Can lead a claim | A | None |
| T40.0X4D | Poisoning by opium, undetermined, subsequent encounter | Can lead a claim | A | None |
| T40.0X4S | Poisoning by opium, undetermined, sequela | Can lead a claim | A | None |
| T40.0X5 Adverse effect of opium | ||||
| T40.0X5A | Adverse effect of opium, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.0X5D | Adverse effect of opium, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.0X5S | Adverse effect of opium, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.0X6 Underdosing of opium | ||||
| T40.0X6A | Underdosing of opium, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.0X6D | Underdosing of opium, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.0X6S | Underdosing of opium, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.1 Poisoning by and adverse effect of heroin | ||||
| T40.1X Poisoning by and adverse effect of heroin | ||||
| T40.1X1 Poisoning by heroin, accidental (unintentional) | ||||
| T40.1X1A | Poisoning by heroin, accidental (unintentional), initial encounterCMS: Poisoning by heroin, accidental (unintentional), init encntr | Can lead a claim | A | None |
| T40.1X1D | Poisoning by heroin, accidental (unintentional), subsequent encounterCMS: Poisoning by heroin, accidental (unintentional), subs encntr | Can lead a claim | A | None |
| T40.1X1S | Poisoning by heroin, accidental (unintentional), sequela | Can lead a claim | A | None |
| T40.1X2 Poisoning by heroin, intentional self-harm | ||||
| T40.1X2A | Poisoning by heroin, intentional self-harm, initial encounterCMS: Poisoning by heroin, intentional self-harm, init encntr | Can lead a claim | A | None |
| T40.1X2D | Poisoning by heroin, intentional self-harm, subsequent encounterCMS: Poisoning by heroin, intentional self-harm, subs encntr | Can lead a claim | A | None |
| T40.1X2S | Poisoning by heroin, intentional self-harm, sequela | Can lead a claim | A | None |
| T40.1X3 Poisoning by heroin, assault | ||||
| T40.1X3A | Poisoning by heroin, assault, initial encounter | Can lead a claim | A | None |
| T40.1X3D | Poisoning by heroin, assault, subsequent encounter | Can lead a claim | A | None |
| T40.1X3S | Poisoning by heroin, assault, sequela | Can lead a claim | A | None |
| T40.1X4 Poisoning by heroin, undetermined | ||||
| T40.1X4A | Poisoning by heroin, undetermined, initial encounter | Can lead a claim | A | None |
| T40.1X4D | Poisoning by heroin, undetermined, subsequent encounter | Can lead a claim | A | None |
| T40.1X4S | Poisoning by heroin, undetermined, sequela | Can lead a claim | A | None |
| T40.2 Poisoning by, adverse effect of and underdosing of other opioids | ||||
| T40.2X Poisoning by, adverse effect of and underdosing of other opioids | ||||
| T40.2X1 Poisoning by other opioids, accidental (unintentional) | ||||
| T40.2X1A | Poisoning by other opioids, accidental (unintentional), initial encounterCMS: Poisoning by oth opioids, accidental (unintentional), init | Can lead a claim | A | None |
| T40.2X1D | Poisoning by other opioids, accidental (unintentional), subsequent encounterCMS: Poisoning by oth opioids, accidental (unintentional), subs | Can lead a claim | A | None |
| T40.2X1S | Poisoning by other opioids, accidental (unintentional), sequelaCMS: Poisoning by oth opioids, accidental, sequela | Can lead a claim | A | None |
| T40.2X2 Poisoning by other opioids, intentional self-harm | ||||
| T40.2X2A | Poisoning by other opioids, intentional self-harm, initial encounterCMS: Poisoning by oth opioids, intentional self-harm, init encntr | Can lead a claim | A | None |
| T40.2X2D | Poisoning by other opioids, intentional self-harm, subsequent encounterCMS: Poisoning by oth opioids, intentional self-harm, subs encntr | Can lead a claim | A | None |
| T40.2X2S | Poisoning by other opioids, intentional self-harm, sequela | Can lead a claim | A | None |
| T40.2X3 Poisoning by other opioids, assault | ||||
| T40.2X3A | Poisoning by other opioids, assault, initial encounter | Can lead a claim | A | None |
| T40.2X3D | Poisoning by other opioids, assault, subsequent encounter | Can lead a claim | A | None |
| T40.2X3S | Poisoning by other opioids, assault, sequela | Can lead a claim | A | None |
| T40.2X4 Poisoning by other opioids, undetermined | ||||
| T40.2X4A | Poisoning by other opioids, undetermined, initial encounter | Can lead a claim | A | None |
| T40.2X4D | Poisoning by other opioids, undetermined, subsequent encounterCMS: Poisoning by other opioids, undetermined, subs encntr | Can lead a claim | A | None |
| T40.2X4S | Poisoning by other opioids, undetermined, sequela | Can lead a claim | A | None |
| T40.2X5 Adverse effect of other opioids | ||||
| T40.2X5A | Adverse effect of other opioids, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.2X5D | Adverse effect of other opioids, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.2X5S | Adverse effect of other opioids, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.2X6 Underdosing of other opioids | ||||
| T40.2X6A | Underdosing of other opioids, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.2X6D | Underdosing of other opioids, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.2X6S | Underdosing of other opioids, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.3 Poisoning by, adverse effect of and underdosing of methadone | ||||
| T40.3X Poisoning by, adverse effect of and underdosing of methadone | ||||
| T40.3X1 Poisoning by methadone, accidental (unintentional) | ||||
| T40.3X1A | Poisoning by methadone, accidental (unintentional), initial encounterCMS: Poisoning by methadone, accidental (unintentional), init | Can lead a claim | A | None |
| T40.3X1D | Poisoning by methadone, accidental (unintentional), subsequent encounterCMS: Poisoning by methadone, accidental (unintentional), subs | Can lead a claim | A | None |
| T40.3X1S | Poisoning by methadone, accidental (unintentional), sequela | Can lead a claim | A | None |
| T40.3X2 Poisoning by methadone, intentional self-harm | ||||
| T40.3X2A | Poisoning by methadone, intentional self-harm, initial encounterCMS: Poisoning by methadone, intentional self-harm, init encntr | Can lead a claim | A | None |
| T40.3X2D | Poisoning by methadone, intentional self-harm, subsequent encounterCMS: Poisoning by methadone, intentional self-harm, subs encntr | Can lead a claim | A | None |
| T40.3X2S | Poisoning by methadone, intentional self-harm, sequela | Can lead a claim | A | None |
| T40.3X3 Poisoning by methadone, assault | ||||
| T40.3X3A | Poisoning by methadone, assault, initial encounter | Can lead a claim | A | None |
| T40.3X3D | Poisoning by methadone, assault, subsequent encounter | Can lead a claim | A | None |
| T40.3X3S | Poisoning by methadone, assault, sequela | Can lead a claim | A | None |
| T40.3X4 Poisoning by methadone, undetermined | ||||
| T40.3X4A | Poisoning by methadone, undetermined, initial encounter | Can lead a claim | A | None |
| T40.3X4D | Poisoning by methadone, undetermined, subsequent encounter | Can lead a claim | A | None |
| T40.3X4S | Poisoning by methadone, undetermined, sequela | Can lead a claim | A | None |
| T40.3X5 Adverse effect of methadone | ||||
| T40.3X5A | Adverse effect of methadone, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.3X5D | Adverse effect of methadone, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.3X5S | Adverse effect of methadone, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.3X6 Underdosing of methadone | ||||
| T40.3X6A | Underdosing of methadone, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.3X6D | Underdosing of methadone, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.3X6S | Underdosing of methadone, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.4 Poisoning by, adverse effect of and underdosing of other synthetic narcotics | ||||
| T40.41 Poisoning by, adverse effect of and underdosing of fentanyl or fentanyl analogs | ||||
| T40.411 Poisoning by fentanyl or fentanyl analogs, accidental (unintentional) | ||||
| T40.411A | Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), initial encounterCMS: Poisoning by fentanyl or fentanyl analogs, accidental, init | Can lead a claim | A | None |
| T40.411D | Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), subsequent encounterCMS: Poisoning by fentanyl or fentanyl analogs, accidental, subs | Can lead a claim | A | None |
| T40.411S | Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), sequelaCMS: Poisoning by fentanyl or fentanyl analogs, acc, sequela | Can lead a claim | A | None |
| T40.412 Poisoning by fentanyl or fentanyl analogs, intentional self-harm | ||||
| T40.412A | Poisoning by fentanyl or fentanyl analogs, intentional self-harm, initial encounterCMS: Poisoning by fentanyl or fentanyl analogs, self-harm, init | Can lead a claim | A | None |
| T40.412D | Poisoning by fentanyl or fentanyl analogs, intentional self-harm, subsequent encounterCMS: Poisoning by fentanyl or fentanyl analogs, self-harm, subs | Can lead a claim | A | None |
| T40.412S | Poisoning by fentanyl or fentanyl analogs, intentional self-harm, sequelaCMS: Poisn by fentanyl or fentanyl analogs, self-harm, sequela | Can lead a claim | A | None |
| T40.413 Poisoning by fentanyl or fentanyl analogs, assault | ||||
| T40.413A | Poisoning by fentanyl or fentanyl analogs, assault, initial encounterCMS: Poisoning by fentanyl or fentanyl analogs, assault, init | Can lead a claim | A | None |
| T40.413D | Poisoning by fentanyl or fentanyl analogs, assault, subsequent encounterCMS: Poisoning by fentanyl or fentanyl analogs, assault, subs | Can lead a claim | A | None |
| T40.413S | Poisoning by fentanyl or fentanyl analogs, assault, sequela | Can lead a claim | A | None |
| T40.414 Poisoning by fentanyl or fentanyl analogs, undetermined | ||||
| T40.414A | Poisoning by fentanyl or fentanyl analogs, undetermined, initial encounterCMS: Poisoning by fentanyl or fentanyl analogs, undet, init | Can lead a claim | A | None |
| T40.414D | Poisoning by fentanyl or fentanyl analogs, undetermined, subsequent encounterCMS: Poisoning by fentanyl or fentanyl analogs, undet, subs | Can lead a claim | A | None |
| T40.414S | Poisoning by fentanyl or fentanyl analogs, undetermined, sequelaCMS: Poisoning by fentanyl or fentanyl analogs, undet, sequela | Can lead a claim | A | None |
| T40.415 Adverse effect of fentanyl or fentanyl analogs | ||||
| T40.415A | Adverse effect of fentanyl or fentanyl analogs, initial encounterCMS: Adverse effect of fentanyl or fentanyl analogs, init | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.415D | Adverse effect of fentanyl or fentanyl analogs, subsequent encounterCMS: Adverse effect of fentanyl or fentanyl analogs, subs | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.415S | Adverse effect of fentanyl or fentanyl analogs, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.416 Underdosing of fentanyl or fentanyl analogs | ||||
| T40.416A | Underdosing of fentanyl or fentanyl analogs, initial encounterCMS: Underdosing of fentanyl or fentanyl analogs, init | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.416D | Underdosing of fentanyl or fentanyl analogs, subsequent encounterCMS: Underdosing of fentanyl or fentanyl analogs, subs | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.416S | Underdosing of fentanyl or fentanyl analogs, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.42 Poisoning by, adverse effect of and underdosing of tramadol | ||||
| T40.421 Poisoning by tramadol, accidental (unintentional) | ||||
| T40.421A | Poisoning by tramadol, accidental (unintentional), initial encounterCMS: Poisoning by tramadol, accidental (unintentional), init | Can lead a claim | A | None |
| T40.421D | Poisoning by tramadol, accidental (unintentional), subsequent encounterCMS: Poisoning by tramadol, accidental (unintentional), subs | Can lead a claim | A | None |
| T40.421S | Poisoning by tramadol, accidental (unintentional), sequela | Can lead a claim | A | None |
| T40.422 Poisoning by tramadol, intentional self-harm | ||||
| T40.422A | Poisoning by tramadol, intentional self-harm, initial encounterCMS: Poisoning by tramadol, self-harm, initial encounter | Can lead a claim | A | None |
| T40.422D | Poisoning by tramadol, intentional self-harm, subsequent encounterCMS: Poisoning by tramadol, self-harm, subsequent encounter | Can lead a claim | A | None |
| T40.422S | Poisoning by tramadol, intentional self-harm, sequela | Can lead a claim | A | None |
| T40.423 Poisoning by tramadol, assault | ||||
| T40.423A | Poisoning by tramadol, assault, initial encounter | Can lead a claim | A | None |
| T40.423D | Poisoning by tramadol, assault, subsequent encounter | Can lead a claim | A | None |
| T40.423S | Poisoning by tramadol, assault, sequela | Can lead a claim | A | None |
| T40.424 Poisoning by tramadol, undetermined | ||||
| T40.424A | Poisoning by tramadol, undetermined, initial encounter | Can lead a claim | A | None |
| T40.424D | Poisoning by tramadol, undetermined, subsequent encounter | Can lead a claim | A | None |
| T40.424S | Poisoning by tramadol, undetermined, sequela | Can lead a claim | A | None |
| T40.425 Adverse effect of tramadol | ||||
| T40.425A | Adverse effect of tramadol, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.425D | Adverse effect of tramadol, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.425S | Adverse effect of tramadol, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.426 Underdosing of tramadol | ||||
| T40.426A | Underdosing of tramadol, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.426D | Underdosing of tramadol, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.426S | Underdosing of tramadol, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.49 Poisoning by, adverse effect of and underdosing of other synthetic narcotics | ||||
| T40.491 Poisoning by other synthetic narcotics, accidental (unintentional) | ||||
| T40.491A | Poisoning by other synthetic narcotics, accidental (unintentional), initial encounterCMS: Poisoning by other synthetic narcotics, accidental, init | Can lead a claim | A | None |
| T40.491D | Poisoning by other synthetic narcotics, accidental (unintentional), subsequent encounterCMS: Poisoning by other synthetic narcotics, accidental, subs | Can lead a claim | A | None |
| T40.491S | Poisoning by other synthetic narcotics, accidental (unintentional), sequelaCMS: Poisoning by other synthetic narcotics, accidental, sequela | Can lead a claim | A | None |
| T40.492 Poisoning by other synthetic narcotics, intentional self-harm | ||||
| T40.492A | Poisoning by other synthetic narcotics, intentional self-harm, initial encounterCMS: Poisoning by other synthetic narcotics, self-harm, init | Can lead a claim | A | None |
| T40.492D | Poisoning by other synthetic narcotics, intentional self-harm, subsequent encounterCMS: Poisoning by other synthetic narcotics, self-harm, subs | Can lead a claim | A | None |
| T40.492S | Poisoning by other synthetic narcotics, intentional self-harm, sequelaCMS: Poisoning by other synthetic narcotics, self-harm, sequela | Can lead a claim | A | None |
| T40.493 Poisoning by other synthetic narcotics, assault | ||||
| T40.493A | Poisoning by other synthetic narcotics, assault, initial encounterCMS: Poisoning by other synthetic narcotics, assault, init | Can lead a claim | A | None |
| T40.493D | Poisoning by other synthetic narcotics, assault, subsequent encounterCMS: Poisoning by other synthetic narcotics, assault, subs | Can lead a claim | A | None |
| T40.493S | Poisoning by other synthetic narcotics, assault, sequela | Can lead a claim | A | None |
| T40.494 Poisoning by other synthetic narcotics, undetermined | ||||
| T40.494A | Poisoning by other synthetic narcotics, undetermined, initial encounterCMS: Poisoning by other synthetic narcotics, undetermined, init | Can lead a claim | A | None |
| T40.494D | Poisoning by other synthetic narcotics, undetermined, subsequent encounterCMS: Poisoning by other synthetic narcotics, undetermined, subs | Can lead a claim | A | None |
| T40.494S | Poisoning by other synthetic narcotics, undetermined, sequelaCMS: Poisoning by other synthetic narcotics, undet, sequela | Can lead a claim | A | None |
| T40.495 Adverse effect of other synthetic narcotics | ||||
| T40.495A | Adverse effect of other synthetic narcotics, initial encounterCMS: Adverse effect of other synthetic narcotics, init | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.495D | Adverse effect of other synthetic narcotics, subsequent encounterCMS: Adverse effect of other synthetic narcotics, subs | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.495S | Adverse effect of other synthetic narcotics, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.496 Underdosing of other synthetic narcotics | ||||
| T40.496A | Underdosing of other synthetic narcotics, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.496D | Underdosing of other synthetic narcotics, subsequent encounterCMS: Underdosing of other synthetic narcotics, subs | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.496S | Underdosing of other synthetic narcotics, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.5 Poisoning by, adverse effect of and underdosing of cocaine | ||||
| T40.5X Poisoning by, adverse effect of and underdosing of cocaine | ||||
| T40.5X1 Poisoning by cocaine, accidental (unintentional) | ||||
| T40.5X1A | Poisoning by cocaine, accidental (unintentional), initial encounterCMS: Poisoning by cocaine, accidental (unintentional), init | Can lead a claim | A | None |
| T40.5X1D | Poisoning by cocaine, accidental (unintentional), subsequent encounterCMS: Poisoning by cocaine, accidental (unintentional), subs | Can lead a claim | A | None |
| T40.5X1S | Poisoning by cocaine, accidental (unintentional), sequela | Can lead a claim | A | None |
| T40.5X2 Poisoning by cocaine, intentional self-harm | ||||
| T40.5X2A | Poisoning by cocaine, intentional self-harm, initial encounterCMS: Poisoning by cocaine, intentional self-harm, init encntr | Can lead a claim | A | None |
| T40.5X2D | Poisoning by cocaine, intentional self-harm, subsequent encounterCMS: Poisoning by cocaine, intentional self-harm, subs encntr | Can lead a claim | A | None |
| T40.5X2S | Poisoning by cocaine, intentional self-harm, sequela | Can lead a claim | A | None |
| T40.5X3 Poisoning by cocaine, assault | ||||
| T40.5X3A | Poisoning by cocaine, assault, initial encounter | Can lead a claim | A | None |
| T40.5X3D | Poisoning by cocaine, assault, subsequent encounter | Can lead a claim | A | None |
| T40.5X3S | Poisoning by cocaine, assault, sequela | Can lead a claim | A | None |
| T40.5X4 Poisoning by cocaine, undetermined | ||||
| T40.5X4A | Poisoning by cocaine, undetermined, initial encounter | Can lead a claim | A | None |
| T40.5X4D | Poisoning by cocaine, undetermined, subsequent encounter | Can lead a claim | A | None |
| T40.5X4S | Poisoning by cocaine, undetermined, sequela | Can lead a claim | A | None |
| T40.5X5 Adverse effect of cocaine | ||||
| T40.5X5A | Adverse effect of cocaine, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.5X5D | Adverse effect of cocaine, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.5X5S | Adverse effect of cocaine, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.5X6 Underdosing of cocaine | ||||
| T40.5X6A | Underdosing of cocaine, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.5X6D | Underdosing of cocaine, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.5X6S | Underdosing of cocaine, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.6 Poisoning by, adverse effect of and underdosing of other and unspecified narcotics | ||||
| T40.60 Poisoning by, adverse effect of and underdosing of unspecified narcotics | ||||
| T40.601 Poisoning by unspecified narcotics, accidental (unintentional) | ||||
| T40.601A | Poisoning by unspecified narcotics, accidental (unintentional), initial encounterCMS: Poisoning by unsp narcotics, accidental, init | Can lead a claim | A | None |
| T40.601D | Poisoning by unspecified narcotics, accidental (unintentional), subsequent encounterCMS: Poisoning by unsp narcotics, accidental, subs | Can lead a claim | A | None |
| T40.601S | Poisoning by unspecified narcotics, accidental (unintentional), sequelaCMS: Poisoning by unsp narcotics, accidental, sequela | Can lead a claim | A | None |
| T40.602 Poisoning by unspecified narcotics, intentional self-harm | ||||
| T40.602A | Poisoning by unspecified narcotics, intentional self-harm, initial encounterCMS: Poisoning by unsp narcotics, intentional self-harm, init | Can lead a claim | A | None |
| T40.602D | Poisoning by unspecified narcotics, intentional self-harm, subsequent encounterCMS: Poisoning by unsp narcotics, intentional self-harm, subs | Can lead a claim | A | None |
| T40.602S | Poisoning by unspecified narcotics, intentional self-harm, sequelaCMS: Poisoning by unsp narcotics, intentional self-harm, sequela | Can lead a claim | A | None |
| T40.603 Poisoning by unspecified narcotics, assault | ||||
| T40.603A | Poisoning by unspecified narcotics, assault, initial encounterCMS: Poisoning by unspecified narcotics, assault, init encntr | Can lead a claim | A | None |
| T40.603D | Poisoning by unspecified narcotics, assault, subsequent encounterCMS: Poisoning by unspecified narcotics, assault, subs encntr | Can lead a claim | A | None |
| T40.603S | Poisoning by unspecified narcotics, assault, sequela | Can lead a claim | A | None |
| T40.604 Poisoning by unspecified narcotics, undetermined | ||||
| T40.604A | Poisoning by unspecified narcotics, undetermined, initial encounterCMS: Poisoning by unsp narcotics, undetermined, init encntr | Can lead a claim | A | None |
| T40.604D | Poisoning by unspecified narcotics, undetermined, subsequent encounterCMS: Poisoning by unsp narcotics, undetermined, subs encntr | Can lead a claim | A | None |
| T40.604S | Poisoning by unspecified narcotics, undetermined, sequela | Can lead a claim | A | None |
| T40.605 Adverse effect of unspecified narcotics | ||||
| T40.605A | Adverse effect of unspecified narcotics, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.605D | Adverse effect of unspecified narcotics, subsequent encounterCMS: Adverse effect of unspecified narcotics, subs encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.605S | Adverse effect of unspecified narcotics, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.606 Underdosing of unspecified narcotics | ||||
| T40.606A | Underdosing of unspecified narcotics, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.606D | Underdosing of unspecified narcotics, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.606S | Underdosing of unspecified narcotics, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.69 Poisoning by, adverse effect of and underdosing of other narcotics | ||||
| T40.691 Poisoning by other narcotics, accidental (unintentional) | ||||
| T40.691A | Poisoning by other narcotics, accidental (unintentional), initial encounterCMS: Poisoning by oth narcotics, accidental (unintentional), init | Can lead a claim | A | None |
| T40.691D | Poisoning by other narcotics, accidental (unintentional), subsequent encounterCMS: Poisoning by oth narcotics, accidental (unintentional), subs | Can lead a claim | A | None |
| T40.691S | Poisoning by other narcotics, accidental (unintentional), sequelaCMS: Poisoning by oth narcotics, accidental, sequela | Can lead a claim | A | None |
| T40.692 Poisoning by other narcotics, intentional self-harm | ||||
| T40.692A | Poisoning by other narcotics, intentional self-harm, initial encounterCMS: Poisoning by oth narcotics, intentional self-harm, init | Can lead a claim | A | None |
| T40.692D | Poisoning by other narcotics, intentional self-harm, subsequent encounterCMS: Poisoning by oth narcotics, intentional self-harm, subs | Can lead a claim | A | None |
| T40.692S | Poisoning by other narcotics, intentional self-harm, sequela | Can lead a claim | A | None |
| T40.693 Poisoning by other narcotics, assault | ||||
| T40.693A | Poisoning by other narcotics, assault, initial encounter | Can lead a claim | A | None |
| T40.693D | Poisoning by other narcotics, assault, subsequent encounter | Can lead a claim | A | None |
| T40.693S | Poisoning by other narcotics, assault, sequela | Can lead a claim | A | None |
| T40.694 Poisoning by other narcotics, undetermined | ||||
| T40.694A | Poisoning by other narcotics, undetermined, initial encounterCMS: Poisoning by other narcotics, undetermined, init encntr | Can lead a claim | A | None |
| T40.694D | Poisoning by other narcotics, undetermined, subsequent encounterCMS: Poisoning by other narcotics, undetermined, subs encntr | Can lead a claim | A | None |
| T40.694S | Poisoning by other narcotics, undetermined, sequela | Can lead a claim | A | None |
| T40.695 Adverse effect of other narcotics | ||||
| T40.695A | Adverse effect of other narcotics, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.695D | Adverse effect of other narcotics, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.695S | Adverse effect of other narcotics, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.696 Underdosing of other narcotics | ||||
| T40.696A | Underdosing of other narcotics, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.696D | Underdosing of other narcotics, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.696S | Underdosing of other narcotics, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.7 Poisoning by, adverse effect of and underdosing of cannabis (derivatives) | ||||
| T40.71 Poisoning by, adverse effect of and underdosing of cannabis (derivatives) | ||||
| T40.711 Poisoning by cannabis, accidental (unintentional) | ||||
| T40.711A | Poisoning by cannabis, accidental (unintentional), initial encounterCMS: Poisoning by cannabis, accidental (unintentional), init | Can lead a claim | A | None |
| T40.711D | Poisoning by cannabis, accidental (unintentional), subsequent encounterCMS: Poisoning by cannabis, accidental (unintentional), subs | Can lead a claim | A | None |
| T40.711S | Poisoning by cannabis, accidental (unintentional), sequela | Can lead a claim | A | None |
| T40.712 Poisoning by cannabis, intentional self-harm | ||||
| T40.712A | Poisoning by cannabis, intentional self-harm, initial encounterCMS: Poisoning by cannabis, self-harm, initial encounter | Can lead a claim | A | None |
| T40.712D | Poisoning by cannabis, intentional self-harm, subsequent encounterCMS: Poisoning by cannabis, self-harm, subsequent encounter | Can lead a claim | A | None |
| T40.712S | Poisoning by cannabis, intentional self-harm, sequela | Can lead a claim | A | None |
| T40.713 Poisoning by cannabis, assault | ||||
| T40.713A | Poisoning by cannabis, assault, initial encounter | Can lead a claim | A | None |
| T40.713D | Poisoning by cannabis, assault, subsequent encounter | Can lead a claim | A | None |
| T40.713S | Poisoning by cannabis, assault, sequela | Can lead a claim | A | None |
| T40.714 Poisoning by cannabis, undetermined | ||||
| T40.714A | Poisoning by cannabis, undetermined, initial encounter | Can lead a claim | A | None |
| T40.714D | Poisoning by cannabis, undetermined, subsequent encounter | Can lead a claim | A | None |
| T40.714S | Poisoning by cannabis, undetermined, sequela | Can lead a claim | A | None |
| T40.715 Adverse effect of cannabis | ||||
| T40.715A | Adverse effect of cannabis, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.715D | Adverse effect of cannabis, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.715S | Adverse effect of cannabis, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.716 Underdosing of cannabis | ||||
| T40.716A | Underdosing of cannabis, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.716D | Underdosing of cannabis, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.716S | Underdosing of cannabis, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.72 Poisoning by, adverse effect of and underdosing of synthetic cannabinoids | ||||
| T40.721 Poisoning by synthetic cannabinoids, accidental (unintentional) | ||||
| T40.721A | Poisoning by synthetic cannabinoids, accidental (unintentional), initial encounterCMS: Poisoning by synthetic cannabinoids, accidental, init | Can lead a claim | A | None |
| T40.721D | Poisoning by synthetic cannabinoids, accidental (unintentional), subsequent encounterCMS: Poisoning by synthetic cannabinoids, accidental, subs | Can lead a claim | A | None |
| T40.721S | Poisoning by synthetic cannabinoids, accidental (unintentional), sequelaCMS: Poisoning by synthetic cannabinoids, accidental, sequela | Can lead a claim | A | None |
| T40.722 Poisoning by synthetic cannabinoids, intentional self-harm | ||||
| T40.722A | Poisoning by synthetic cannabinoids, intentional self-harm, initial encounterCMS: Poisoning by synthetic cannabinoids, self-harm, init | Can lead a claim | A | None |
| T40.722D | Poisoning by synthetic cannabinoids, intentional self-harm, subsequent encounterCMS: Poisoning by synthetic cannabinoids, self-harm, subs | Can lead a claim | A | None |
| T40.722S | Poisoning by synthetic cannabinoids, intentional self-harm, sequelaCMS: Poisoning by synthetic cannabinoids, self-harm, sequela | Can lead a claim | A | None |
| T40.723 Poisoning by synthetic cannabinoids, assault | ||||
| T40.723A | Poisoning by synthetic cannabinoids, assault, initial encounterCMS: Poisoning by synthetic cannabinoids, assault, init | Can lead a claim | A | None |
| T40.723D | Poisoning by synthetic cannabinoids, assault, subsequent encounterCMS: Poisoning by synthetic cannabinoids, assault, subs | Can lead a claim | A | None |
| T40.723S | Poisoning by synthetic cannabinoids, assault, sequela | Can lead a claim | A | None |
| T40.724 Poisoning by synthetic cannabinoids, undetermined | ||||
| T40.724A | Poisoning by synthetic cannabinoids, undetermined, initial encounterCMS: Poisoning by synthetic cannabinoids, undetermined, init | Can lead a claim | A | None |
| T40.724D | Poisoning by synthetic cannabinoids, undetermined, subsequent encounterCMS: Poisoning by synthetic cannabinoids, undetermined, subs | Can lead a claim | A | None |
| T40.724S | Poisoning by synthetic cannabinoids, undetermined, sequela | Can lead a claim | A | None |
| T40.725 Adverse effect of synthetic cannabinoids | ||||
| T40.725A | Adverse effect of synthetic cannabinoids, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.725D | Adverse effect of synthetic cannabinoids, subsequent encounterCMS: Adverse effect of synthetic cannabinoids, subs | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.725S | Adverse effect of synthetic cannabinoids, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.726 Underdosing of synthetic cannabinoids | ||||
| T40.726A | Underdosing of synthetic cannabinoids, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.726D | Underdosing of synthetic cannabinoids, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.726S | Underdosing of synthetic cannabinoids, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.8 Poisoning by and adverse effect of lysergide [LSD] | ||||
| T40.8X Poisoning by and adverse effect of lysergide [LSD] | ||||
| T40.8X1 Poisoning by lysergide [LSD], accidental (unintentional) | ||||
| T40.8X1A | Poisoning by lysergide [LSD], accidental (unintentional), initial encounterCMS: Poisoning by lysergide, accidental (unintentional), init | Can lead a claim | A | None |
| T40.8X1D | Poisoning by lysergide [LSD], accidental (unintentional), subsequent encounterCMS: Poisoning by lysergide, accidental (unintentional), subs | Can lead a claim | A | None |
| T40.8X1S | Poisoning by lysergide [LSD], accidental (unintentional), sequelaCMS: Poisoning by lysergide, accidental (unintentional), sequela | Can lead a claim | A | None |
| T40.8X2 Poisoning by lysergide [LSD], intentional self-harm | ||||
| T40.8X2A | Poisoning by lysergide [LSD], intentional self-harm, initial encounterCMS: Poisoning by lysergide, intentional self-harm, init encntr | Can lead a claim | A | None |
| T40.8X2D | Poisoning by lysergide [LSD], intentional self-harm, subsequent encounterCMS: Poisoning by lysergide, intentional self-harm, subs encntr | Can lead a claim | A | None |
| T40.8X2S | Poisoning by lysergide [LSD], intentional self-harm, sequela | Can lead a claim | A | None |
| T40.8X3 Poisoning by lysergide [LSD], assault | ||||
| T40.8X3A | Poisoning by lysergide [LSD], assault, initial encounter | Can lead a claim | A | None |
| T40.8X3D | Poisoning by lysergide [LSD], assault, subsequent encounter | Can lead a claim | A | None |
| T40.8X3S | Poisoning by lysergide [LSD], assault, sequela | Can lead a claim | A | None |
| T40.8X4 Poisoning by lysergide [LSD], undetermined | ||||
| T40.8X4A | Poisoning by lysergide [LSD], undetermined, initial encounterCMS: Poisoning by lysergide, undetermined, initial encounter | Can lead a claim | A | None |
| T40.8X4D | Poisoning by lysergide [LSD], undetermined, subsequent encounterCMS: Poisoning by lysergide, undetermined, subsequent encounter | Can lead a claim | A | None |
| T40.8X4S | Poisoning by lysergide [LSD], undetermined, sequela | Can lead a claim | A | None |
| T40.9 Poisoning by, adverse effect of and underdosing of other and unspecified psychodysleptics [hallucinogens] | ||||
| T40.90 Poisoning by, adverse effect of and underdosing of unspecified psychodysleptics [hallucinogens] | ||||
| T40.901 Poisoning by unspecified psychodysleptics [hallucinogens], accidental (unintentional) | ||||
| T40.901A | Poisoning by unspecified psychodysleptics [hallucinogens], accidental (unintentional), initial encounterCMS: Poisoning by unsp psychodyslept, accidental, init | Can lead a claim | A | None |
| T40.901D | Poisoning by unspecified psychodysleptics [hallucinogens], accidental (unintentional), subsequent encounterCMS: Poisoning by unsp psychodyslept, accidental, subs | Can lead a claim | A | None |
| T40.901S | Poisoning by unspecified psychodysleptics [hallucinogens], accidental (unintentional), sequelaCMS: Poisoning by unsp psychodyslept, accidental, sequela | Can lead a claim | A | None |
| T40.902 Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm | ||||
| T40.902A | Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm, initial encounterCMS: Poisoning by unsp psychodysleptics, self-harm, init | Can lead a claim | A | None |
| T40.902D | Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm, subsequent encounterCMS: Poisoning by unsp psychodysleptics, self-harm, subs | Can lead a claim | A | None |
| T40.902S | Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm, sequelaCMS: Poisoning by unsp psychodysleptics, self-harm, sequela | Can lead a claim | A | None |
| T40.903 Poisoning by unspecified psychodysleptics [hallucinogens], assault | ||||
| T40.903A | Poisoning by unspecified psychodysleptics [hallucinogens], assault, initial encounterCMS: Poisoning by unsp psychodysleptics, assault, init encntr | Can lead a claim | A | None |
| T40.903D | Poisoning by unspecified psychodysleptics [hallucinogens], assault, subsequent encounterCMS: Poisoning by unsp psychodysleptics, assault, subs encntr | Can lead a claim | A | None |
| T40.903S | Poisoning by unspecified psychodysleptics [hallucinogens], assault, sequelaCMS: Poisoning by unspecified psychodysleptics, assault, sequela | Can lead a claim | A | None |
| T40.904 Poisoning by unspecified psychodysleptics [hallucinogens], undetermined | ||||
| T40.904A | Poisoning by unspecified psychodysleptics [hallucinogens], undetermined, initial encounterCMS: Poisoning by unsp psychodysleptics, undetermined, init | Can lead a claim | A | None |
| T40.904D | Poisoning by unspecified psychodysleptics [hallucinogens], undetermined, subsequent encounterCMS: Poisoning by unsp psychodysleptics, undetermined, subs | Can lead a claim | A | None |
| T40.904S | Poisoning by unspecified psychodysleptics [hallucinogens], undetermined, sequelaCMS: Poisoning by unsp psychodysleptics, undetermined, sequela | Can lead a claim | A | None |
| T40.905 Adverse effect of unspecified psychodysleptics [hallucinogens] | ||||
| T40.905A | Adverse effect of unspecified psychodysleptics [hallucinogens], initial encounterCMS: Adverse effect of unspecified psychodysleptics, init encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.905D | Adverse effect of unspecified psychodysleptics [hallucinogens], subsequent encounterCMS: Adverse effect of unspecified psychodysleptics, subs encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.905S | Adverse effect of unspecified psychodysleptics [hallucinogens], sequelaCMS: Adverse effect of unspecified psychodysleptics, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.906 Underdosing of unspecified psychodysleptics [hallucinogens] | ||||
| T40.906A | Underdosing of unspecified psychodysleptics [hallucinogens], initial encounterCMS: Underdosing of unspecified psychodysleptics, init | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.906D | Underdosing of unspecified psychodysleptics [hallucinogens], subsequent encounterCMS: Underdosing of unspecified psychodysleptics, subs | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.906S | Underdosing of unspecified psychodysleptics [hallucinogens], sequelaCMS: Underdosing of unspecified psychodysleptics, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.99 Poisoning by, adverse effect of and underdosing of other psychodysleptics [hallucinogens] | ||||
| T40.991 Poisoning by other psychodysleptics [hallucinogens], accidental (unintentional) | ||||
| T40.991A | Poisoning by other psychodysleptics [hallucinogens], accidental (unintentional), initial encounterCMS: Poisoning by oth psychodyslept, accidental, init | Can lead a claim | A | None |
| T40.991D | Poisoning by other psychodysleptics [hallucinogens], accidental (unintentional), subsequent encounterCMS: Poisoning by oth psychodyslept, accidental, subs | Can lead a claim | A | None |
| T40.991S | Poisoning by other psychodysleptics [hallucinogens], accidental (unintentional), sequelaCMS: Poisoning by oth psychodyslept, accidental, sequela | Can lead a claim | A | None |
| T40.992 Poisoning by other psychodysleptics [hallucinogens], intentional self-harm | ||||
| T40.992A | Poisoning by other psychodysleptics [hallucinogens], intentional self-harm, initial encounterCMS: Poisoning by oth psychodysleptics, self-harm, init | Can lead a claim | A | None |
| T40.992D | Poisoning by other psychodysleptics [hallucinogens], intentional self-harm, subsequent encounterCMS: Poisoning by oth psychodysleptics, self-harm, subs | Can lead a claim | A | None |
| T40.992S | Poisoning by other psychodysleptics [hallucinogens], intentional self-harm, sequelaCMS: Poisoning by oth psychodysleptics, self-harm, sequela | Can lead a claim | A | None |
| T40.993 Poisoning by other psychodysleptics [hallucinogens], assault | ||||
| T40.993A | Poisoning by other psychodysleptics [hallucinogens], assault, initial encounterCMS: Poisoning by other psychodysleptics, assault, init encntr | Can lead a claim | A | None |
| T40.993D | Poisoning by other psychodysleptics [hallucinogens], assault, subsequent encounterCMS: Poisoning by other psychodysleptics, assault, subs encntr | Can lead a claim | A | None |
| T40.993S | Poisoning by other psychodysleptics [hallucinogens], assault, sequelaCMS: Poisoning by other psychodysleptics, assault, sequela | Can lead a claim | A | None |
| T40.994 Poisoning by other psychodysleptics [hallucinogens], undetermined | ||||
| T40.994A | Poisoning by other psychodysleptics [hallucinogens], undetermined, initial encounterCMS: Poisoning by oth psychodysleptics, undetermined, init encntr | Can lead a claim | A | None |
| T40.994D | Poisoning by other psychodysleptics [hallucinogens], undetermined, subsequent encounterCMS: Poisoning by oth psychodysleptics, undetermined, subs encntr | Can lead a claim | A | None |
| T40.994S | Poisoning by other psychodysleptics [hallucinogens], undetermined, sequelaCMS: Poisoning by other psychodysleptics, undetermined, sequela | Can lead a claim | A | None |
| T40.995 Adverse effect of other psychodysleptics [hallucinogens] | ||||
| T40.995A | Adverse effect of other psychodysleptics [hallucinogens], initial encounterCMS: Adverse effect of other psychodysleptics, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.995D | Adverse effect of other psychodysleptics [hallucinogens], subsequent encounterCMS: Adverse effect of other psychodysleptics, subs encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.995S | Adverse effect of other psychodysleptics [hallucinogens], sequelaCMS: Adverse effect of other psychodysleptics, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.996 Underdosing of other psychodysleptics [hallucinogens] | ||||
| T40.996A | Underdosing of other psychodysleptics [hallucinogens], initial encounterCMS: Underdosing of other psychodysleptics, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.996D | Underdosing of other psychodysleptics [hallucinogens], subsequent encounterCMS: Underdosing of other psychodysleptics, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T40.996S | Underdosing of other psychodysleptics [hallucinogens], sequelaCMS: Underdosing of other psychodysleptics, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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