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FY2027 ICD-10-CM reference

T59: Toxic effect of other gases, fumes and vapors

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Toxic effect of other gases, fumes and vapors. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Nonbillable heading. Verified against the official FY2027 order file.

CMS-HCC V28

Not applicable to this nonbillable heading

CMS-HCC V24

Not applicable to this nonbillable heading

ESRD

Not applicable to this nonbillable heading

PACE

Not applicable to this nonbillable heading

RxHCC

Not applicable to this nonbillable heading

HHS-HCC

Not applicable to this nonbillable heading

More specific FY2027 codes

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Instructional note

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code

Source: S00-T88 (chapter, inherited).

Instructional note

code to identify any retained foreign body, if applicable (Z18.-)

Source: S00-T88 (chapter, inherited).

Excludes2

birth trauma (P10-P15)

Source: S00-T88 (chapter, inherited).

Excludes2

obstetric trauma (O70-O71)

Source: S00-T88 (chapter, inherited).

Instructional note

The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

Source: S00-T88 (chapter, inherited).

Instructional note

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.

Source: T51-T65 (section, inherited).

Instructional note

code(s):

Source: T51-T65 (section, inherited).

Instructional note

for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)

Source: T51-T65 (section, inherited).

Instructional note

personal history of foreign body fully removed (Z87.821)

Source: T51-T65 (section, inherited).

Instructional note

to identify any retained foreign body, if applicable (Z18.-)

Source: T51-T65 (section, inherited).

Excludes1

contact with and (suspected) exposure to toxic substances (Z77.-)

Source: T51-T65 (section, inherited).

Includes

aerosol propellants

Source: T59 (category, direct).

Excludes1

chlorofluorocarbons (T53.5)

Source: T59 (category, direct).

Seventh-character instruction

The appropriate 7th character is to be added to each code from category T59

Source: T59 (category, direct).

Instructional note

initial encounter

Source: T59 (category, direct).

Instructional note

subsequent encounter

Source: T59 (category, direct).

Instructional note

sequela

Source: T59 (category, direct).

Seventh-character definitions

  • A: initial encounter
  • D: subsequent encounter
  • S: sequela

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does T59 mean in FY2027?

The official ICD-10-CM descriptor is Toxic effect of other gases, fumes and vapors. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is T59 billable in FY2027?

The FY2027 order file marks T59 as a nonbillable heading. Select a complete billable child code.

Does T59 map to an HCC?

Risk-model mapping is not applicable to this nonbillable heading. Check a complete billable child code.

Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.

Review the FY2026 April edition