ICD-10-CM Billable Code

T40.902

Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 Code T40.902 pertains to cases of poisoning caused by unspecified psychodysleptics, commonly known as hallucinogens, where the event was an act of intentional self-harm. Hallucinogens are substances that alter perception, mood, and various cognitive processes. When misused or taken in excess, they can lead to serious health risks, including poisoning. This condition highlights the importance of understanding the nature of hallucinogenic substances and the potential consequences of their misuse, particularly in the context of self-harm.

Causes & Symptoms

Clinical Causes: Intentional misuse or overdose of hallucinogenic substances Self-harm behaviors involving consuming unknown or unregulated psychodysleptics Attempted suicide using hallucinogens Seeking to alter mental state through unprescribed substances Accidental poisoning due to misidentification or improper use of hallucinogenic drugs

Key Symptoms: Altered mental state, including hallucinations or illusions Disorientation and confusion Anxiety or panic attacks Agitation or aggressive behavior Dilated pupils Increased heart rate and blood pressure Nausea and vomiting Psychomotor agitation or retardation Potential loss of consciousness or seizures in severe cases

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a thorough clinical assessment, including a detailed history of substance use and the circumstances surrounding the poisoning. Medical professionals may perform physical examinations and laboratory tests such as blood or urine toxicology screens to detect the presence of hallucinogens. It's important to evaluate mental health to identify underlying issues related to self-harm behaviors. Additional assessments may include neurological evaluation if neurological symptoms are present.

Treatment Protocols: Treatment focuses on managing symptoms and preventing complications. This may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is T40.902 a billable ICD-10 code?
Yes, T40.902 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report T40.902?
Clinical documentation must specify the nature of Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm and any associated comorbidities for accurate reporting.

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