T40.1X2S ICD-10-CM Code: Poisoning by heroin, intentional self-harm, sequela

T40.1X2S is the ICD-10-CM diagnosis code for poisoning by heroin, intentional self-harm, sequela. T40.1X2S sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (t36-t50).

T40.1X2S has no mapping under the current CMS-HCC V28 community payment model. T40.1X2S has a separate mapping under the CMS-HCC ESRD model (HCC 59 (Major Depressive/Bipolar/and Paranoid Disorders)); the applicable result needs member context. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.

T40.1X2S is a billable ICD-10-CM code, but no current CMS-HCC V28 community payment mapping is shown. It does map under the CMS-HCC ESRD model, and that result depends on member context rather than on the V28 community model. Do not assign risk adjustment value from this page when no source-backed mapping is shown. Coders should check the current model files and select only the specificity supported by the provider documentation.