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T59.3X1 ICD-10-CM Code: Toxic effect of lacrimogenic gas, accidental (unintentional)

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)

T59.3X1

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Toxic effect of lacrimogenic gas, accidental (unintentional)

Toxic effect of lacrimogenic gas, accidental (unintentional)

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
T59.3Toxic effect of lacrimogenic gas
T59.3XToxic effect of lacrimogenic gas
T59.3X1Toxic effect of lacrimogenic gas, accidental (unintentional)

Inclusion Terms

Official
  • Toxic effect of lacrimogenic gas NOS

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for T59.3X1 in this effective period.

Related Child Codes

Official
T59.3X1AToxic effect of lacrimogenic gas, accidental (unintentional), initial encounter
T59.3X1DToxic effect of lacrimogenic gas, accidental (unintentional), subsequent encounter
T59.3X1SToxic effect of lacrimogenic gas, accidental (unintentional), sequela

Includes

Official

ICD-10-CM does not list Includes notes for T59.3X1 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for T59.3X1 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for T59.3X1 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for T59.3X1 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for T59.3X1 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

T59.3X1 is the ICD-10-CM diagnosis code for toxic effect of lacrimogenic gas, accidental (unintentional). T59.3X1 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering toxic effects of substances chiefly nonmedicinal as to source (t51-t65).

Header codes like T59.3X1 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at T59.3X1's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for T59.3X1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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