Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Rules Conventions GCS DCS.XIX.8 DChS.XX.1 DChS.XX.2

Accidents
(V01-X59)

Modifier-Hint

Other external causes of accidental injury
(W00-X59)

Accidental poisoning by and exposure to noxious substances
(X40-X49)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Note:

For list of specific drugs and other substances classified under the three-character categories, see Table of drugs and chemicals in Alphabetical Index. Evidence of alcohol involvement in combination with substances specified below may be identified by using the supplementary codes Y90-Y91.

Incl.:
accidental overdose of drug, wrong drug given or taken in error, and drug taken inadvertently
accidents in the use of drugs, medicaments and biological substances in medical and surgical procedures
(self-inflicted) poisoning, when not specified whether accidental or with intent to harm. Follow legal rulings when available (see note at Y10-Y34).
Excl.:
administration with suicidal or homicidal intent, or intent to harm, or in other circumstances classifiable to X60-X69, X85-X90, Y10-Y19
correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect ( Y40-Y59)

X40 Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics
DCS.XX.4

Incl.:
4-aminophenol derivatives
nonsteroidal anti-inflammatory drugs [NSAID]
pyrazolone derivatives
salicylates

X41 Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified
DCS.XX.4

Incl.:
antidepressants
barbiturates
hydantoin derivatives
iminostilbenes
methaqualone compounds
neuroleptics
psychostimulants
succinimides and oxazolidinediones
tranquillizers

X42 Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified
DCS.XX.4

Incl.:
cannabis (derivatives)
cocaine
codeine
heroin
lysergide [LSD]
mescaline
methadone
morphine
opium (alkaloids)

X43 Accidental poisoning by and exposure to other drugs acting on the autonomic nervous system
DCS.XX.4

Incl.:
parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics
parasympathomimetics [cholinergics]
sympatholytics [antiadrenergics]
sympathomimetics [adrenergics]

X44 Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances
DCS.XX.4

Incl.:
agents primarily acting on smooth and skeletal muscles and the respiratory system
anaesthetics (general)(local)
drugs affecting the:
  • cardiovascular system
  • gastrointestinal system
hormones and synthetic substitutes
systemic and haematological agents
systemic antibiotics and other anti-infectives
therapeutic gases
topical preparations
vaccines
water-balance agents and drugs affecting mineral and uric acid metabolism

X45 Accidental poisoning by and exposure to alcohol
DCS.XX.4

Incl.:
alcohol:
  • NOS
  • butyl [1-butanol]
  • ethyl [ethanol]
  • isopropyl [2-propanol]
  • methyl [methanol]
  • propyl [1-propanol]
fusel oil

X46 Accidental poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours
DCS.XX.4

Incl.:
benzene and homologues
carbon tetrachloride [tetrachloromethane]
chlorofluorocarbons
petroleum (derivatives)

X47 Accidental poisoning by and exposure to other gases and vapours
DCS.XX.4

Incl.:
carbon monoxide
helium (nonmedicinal) NEC
lacrimogenic gas [tear gas]
motor (vehicle) exhaust gas
nitrogen oxides
sulfur dioxide
utility gas
Excl.:
metal fumes and vapours ( X49)

X48 Accidental poisoning by and exposure to pesticides
DCS.XX.4

Incl.:
fumigants
fungicides
herbicides
insecticides
rodenticides
wood preservatives
Excl.:
plant foods and fertilizers ( X49)

X49 Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances
DCS.XX.4

Incl.:
corrosive aromatics, acids and caustic alkalis
glues and adhesives
metals including fumes and vapours
paints and dyes
plant foods and fertilizers
poisoning NOS
poisonous foodstuffs and poisonous plants
soaps and detergents
Excl.:
contact with venomous animals and plants ( X20-X29)