When no intent is indicated code to accidental. Undetermined intent is only for use when there is specific documentation in the record that the intent of the toxic effect cannot be determined.

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

Excludes1

  • contact with and (suspected) exposure to toxic substances (Z77.-)
  1. T56 Toxic effect of metals

    Use additional code to identify any retained metal foreign body, if applicable (Z18.0-, T18.1-)

    Includes:

    • toxic effects of fumes and vapors of metals
    • toxic effects of metals from all sources, except medicinal substances

    Excludes1

    • arsenic and its compounds (T57.0)
    • manganese and its compounds (T57.2)

    The appropriate 7th character is to be added to each code from category T56

    • A - initial encounter
    • D - subsequent encounter
    • S - sequela
    1. T56.0 Toxic effects of lead and its compounds

      1. T56.0X Toxic effects of lead and its compounds

        • T56.0X1 Toxic effect of lead and its compounds, accidental (unintentional)

          Inclusion term(s):

          • Toxic effects of lead and its compounds NOS
        • T56.0X2 Toxic effect of lead and its compounds, intentional self-harm
        • T56.0X3 Toxic effect of lead and its compounds, assault
        • T56.0X4 Toxic effect of lead and its compounds, undetermined
    2. T56.1 Toxic effects of mercury and its compounds

      1. T56.1X Toxic effects of mercury and its compounds

        • T56.1X1 Toxic effect of mercury and its compounds, accidental (unintentional)

          Inclusion term(s):

          • Toxic effects of mercury and its compounds NOS
        • T56.1X2 Toxic effect of mercury and its compounds, intentional self-harm
        • T56.1X3 Toxic effect of mercury and its compounds, assault
        • T56.1X4 Toxic effect of mercury and its compounds, undetermined
    3. T56.2 Toxic effects of chromium and its compounds

      1. T56.2X Toxic effects of chromium and its compounds

        • T56.2X1 Toxic effect of chromium and its compounds, accidental (unintentional)

          Inclusion term(s):

          • Toxic effects of chromium and its compounds NOS
        • T56.2X2 Toxic effect of chromium and its compounds, intentional self-harm
        • T56.2X3 Toxic effect of chromium and its compounds, assault
        • T56.2X4 Toxic effect of chromium and its compounds, undetermined
    4. T56.3 Toxic effects of cadmium and its compounds

      1. T56.3X Toxic effects of cadmium and its compounds

        • T56.3X1 Toxic effect of cadmium and its compounds, accidental (unintentional)

          Inclusion term(s):

          • Toxic effects of cadmium and its compounds NOS
        • T56.3X2 Toxic effect of cadmium and its compounds, intentional self-harm
        • T56.3X3 Toxic effect of cadmium and its compounds, assault
        • T56.3X4 Toxic effect of cadmium and its compounds, undetermined
    5. T56.4 Toxic effects of copper and its compounds

      1. T56.4X Toxic effects of copper and its compounds

        • T56.4X1 Toxic effect of copper and its compounds, accidental (unintentional)

          Inclusion term(s):

          • Toxic effects of copper and its compounds NOS
        • T56.4X2 Toxic effect of copper and its compounds, intentional self-harm
        • T56.4X3 Toxic effect of copper and its compounds, assault
        • T56.4X4 Toxic effect of copper and its compounds, undetermined
    6. T56.5 Toxic effects of zinc and its compounds

      1. T56.5X Toxic effects of zinc and its compounds

        • T56.5X1 Toxic effect of zinc and its compounds, accidental (unintentional)

          Inclusion term(s):

          • Toxic effects of zinc and its compounds NOS
        • T56.5X2 Toxic effect of zinc and its compounds, intentional self-harm
        • T56.5X3 Toxic effect of zinc and its compounds, assault
        • T56.5X4 Toxic effect of zinc and its compounds, undetermined
    7. T56.6 Toxic effects of tin and its compounds

      1. T56.6X Toxic effects of tin and its compounds

        • T56.6X1 Toxic effect of tin and its compounds, accidental (unintentional)

          Inclusion term(s):

          • Toxic effects of tin and its compounds NOS
        • T56.6X2 Toxic effect of tin and its compounds, intentional self-harm
        • T56.6X3 Toxic effect of tin and its compounds, assault
        • T56.6X4 Toxic effect of tin and its compounds, undetermined
    8. T56.7 Toxic effects of beryllium and its compounds

      1. T56.7X Toxic effects of beryllium and its compounds

        • T56.7X1 Toxic effect of beryllium and its compounds, accidental (unintentional)

          Inclusion term(s):

          • Toxic effects of beryllium and its compounds NOS
        • T56.7X2 Toxic effect of beryllium and its compounds, intentional self-harm
        • T56.7X3 Toxic effect of beryllium and its compounds, assault
        • T56.7X4 Toxic effect of beryllium and its compounds, undetermined
    9. T56.8 Toxic effects of other metals

      1. T56.81 Toxic effect of thallium

        • T56.811 Toxic effect of thallium, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of thallium NOS
        • T56.812 Toxic effect of thallium, intentional self-harm
        • T56.813 Toxic effect of thallium, assault
        • T56.814 Toxic effect of thallium, undetermined
      2. T56.82 Toxic effect of gadolinium

        • T56.821 Toxic effect of gadolinium, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of gadolinium NOS
        • T56.822 Toxic effect of gadolinium, intentional self-harm
        • T56.823 Toxic effect of gadolinium, assault
        • T56.824 Toxic effect of gadolinium, undetermined
      3. T56.89 Toxic effects of other metals

        • T56.891 Toxic effect of other metals, accidental (unintentional)

          Inclusion term(s):

          • Toxic effects of other metals NOS
        • T56.892 Toxic effect of other metals, intentional self-harm
        • T56.893 Toxic effect of other metals, assault
        • T56.894 Toxic effect of other metals, undetermined
    10. T56.9 Toxic effects of unspecified metal

      1. T56.91 Toxic effect of unspecified metal, accidental (unintentional)

      2. T56.92 Toxic effect of unspecified metal, intentional self-harm

      3. T56.93 Toxic effect of unspecified metal, assault

      4. T56.94 Toxic effect of unspecified metal, undetermined

Abbreviations used here:

NEC Not elsewhere classifiable
This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.

NOS Not otherwise specified
This abbreviation is the equivalent of unspecified.