Billable / Specific Code
ICD-10-CM T40.1X4 is the diagnosis code for Poisoning by heroin, undetermined. This code falls under the section "Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances" within Chapter 19 — Injury, poisoning and certain other consequences of external causes (S00-T88). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where T40.1X4 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, T40.1X4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
T40.1X4 is the ICD-10-CM diagnosis code for "Poisoning by heroin, undetermined". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of T40.1X4 is T40.1X ("Poisoning by and adverse effect of heroin"). T40.1X4 provides a more specific classification within this category.
T40.1X4 is located in Section T36-T50 — "Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances" within Chapter 19 of the ICD-10-CM Tabular List.
Use T40.1X4 when the patients documented diagnosis matches "Poisoning by heroin, undetermined" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Poisoning by heroin, undetermined is T40.1X4.
Yes, T40.1X4 can be used as a primary diagnosis code since it is billable and specific.
T40.1X4 is in Chapter 19 of the ICD-10-CM Tabular List.
Yes, T40.1X4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.