T40.413
T40.413 — Poisoning by fentanyl or fentanyl analogs, assault
Non-billable headerICD-10-CM
T40.413 is a non-billable header ICD-10-CM code for poisoning by fentanyl or fentanyl analogs, assault. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category T40
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T40.413 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead T40.413
3 child codes. Green means billable.
Related codes at this level
Codes that share T40.41. If T40.413 is not quite right, the correct code is usually one of these.
- T40.411Poisoning by fentanyl or fentanyl analogs, accidental (unintentional)
- T40.412Poisoning by fentanyl or fentanyl analogs, intentional self-harm
- T40.414Poisoning by fentanyl or fentanyl analogs, undetermined
- T40.415Adverse effect of fentanyl or fentanyl analogs
- T40.416Underdosing of fentanyl or fentanyl analogs
Questions about T40.413
- Is T40.413 a billable ICD-10-CM code?
- No. T40.413 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T40.413 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50).