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ICD-10-CM 2027 diagnosis code

T56.892DToxic effect of other metals, intentional self-harm, subsequent encounter

✓ Billable / specificPOA exemptRequires 7th character

T56.892D is a valid, billable ICD-10-CM code for toxic effect of other metals, intentional self-harm, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Toxic effect of oth metals, intentional self-harm, subs

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About T56.892D

T56.892D is the ICD-10-CM diagnosis code for toxic effect of other metals, intentional self-harm, subsequent encounter. It belongs to category T56 (toxic effect of metals), block T51-T65 (toxic effects of substances chiefly nonmedicinal as to source) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.

Use an additional code to identify any retained metal foreign body, if applicable (Z18.0-, T18.1-).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 949 (Aftercare with CC/MCC, relative weight 1.123) and DRG 950 (Aftercare without CC/MCC, relative weight 0.7664), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V58.89 (other specified aftercare).

7th character

Dsubsequent encounter

Other encounter types for T56.892:

Notes that apply from higher levels

Instructions written at a parent level also apply to T56.892D.

› From T56 Toxic effect of metals
Includes
  • toxic effects of fumes and vapors of metals
  • toxic effects of metals from all sources, except medicinal substances
Excludes1
  • arsenic and its compounds (T57.0)
  • manganese and its compounds (T57.2)
Use additional code
  • code to identify any retained metal foreign body, if applicable (Z18.0-, T18.1-)

Broader instructions also apply from T51-T65 Toxic effects of substances chiefly nonmedicinal as to source and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

ICD-9-CM equivalent

Converter →
  • V58.89Other specified aftercareapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about T56.892D

Is T56.892D billable?

Yes. T56.892D is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of T56.892D mean?

It is the 7th character for subsequent encounter. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can T56.892D be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict T56.892D as a principal diagnosis.

Is T56.892D a CC or MCC?

No. T56.892D is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does T56.892D group to?

T56.892D is used in the MS-DRG v44.0 logic for MS-DRG 949 (Aftercare with CC/MCC) and MS-DRG 950 (Aftercare without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for T56.892D?

The CMS General Equivalence Mappings map T56.892D to ICD-9-CM V58.89.