Medical Toxicology EHR and AI Medical Billing Software

Medical toxicologists treat poisonings, overdoses and exposures. XEHR documents consults and antidotes and codes poisonings by drug and intent.

Book a medical toxicology demo See pricing

Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Intentional overdose of acetaminophen; toxicology consult.

T39.1X2A Poisoning by 4-Aminophenol derivatives, intentional self-harm, initial encounter

ReviewSign note

Diagnosis carried to the claimT39.1X2A

THE HARD PARTS

What makes medical toxicology billing hard

Every poisoning code states intent

Poisoning codes include the substance and whether it was accidental, intentional self-harm, assault or undetermined. A note without intent cannot be coded correctly.

Most work is consultation

Toxicologists consult in emergency departments and hospitals, so hospital billing rules apply to most visits.

Sensitive records

Overdoses and substance use need limited access and careful disclosure.

WHERE THE WORK HAPPENS

How medical toxicology care is delivered and billed

Medical toxicologists consult in emergency departments and hospitals, staff poison centers and run outpatient clinics for addiction and occupational exposure. Consults are billed on the professional claim with the hospital place of service.

What payers check on medical toxicology claims

Poisoning codes include the substance and intent: accidental, intentional, assault or undetermined.
Adverse effects of correctly taken drugs use different codes from poisonings.
Hospital consults are billed with the hospital place of service.
Substance use treatment records may carry additional consent rules.
Codes need an encounter character for initial, subsequent or sequela.

Common medical toxicology diagnoses ICD-10-CM

T39.1X2A	Poisoning by 4-Aminophenol derivatives, intentional self-harm, initial encounter
T40.2X1A	Poisoning by other opioids, accidental (unintentional), initial encounter
T58.01XA	Toxic effect of carbon monoxide from motor vehicle exhaust, accidental (unintentional), initial encounter
T63.441A	Toxic effect of venom of bees, accidental (unintentional), initial encounter
F11.20	Opioid dependence, uncomplicated
T56.0X1A	Toxic effect of lead and its compounds, accidental (unintentional), initial encounter

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A medical toxicology visit, start to payment

1
Consult

Substance, amount, timing and intent are documented.
2
Treat

Antidotes and monitoring are recorded.
3
Follow up

Clinic or addiction follow-up is scheduled from the same record.
4
Bill

Consults go out with the poisoning codes the note supports.

How XEHR helps

From the medical toxicology visit to the payment

Substance and intent recordedNotes capture substance, amount and intent for coding.
Consult to clinicHospital consults and clinic follow-up share one record.
Access limitedSensitive records are shown only to staff who need them.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for medical toxicology

AI medical billing for medical toxicology practices

XEHR is an agentic EHR: AI agents do the administrative work around every medical toxicology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Poisoning codes include the substance and intent: accidental, intentional, assault or undetermined.
Adverse effects of correctly taken drugs use different codes from poisonings.
Hospital consults are billed with the hospital place of service.
Substance use treatment records may carry additional consent rules.

Around the visit

Agents run on their own

Coverage checked before each medical toxicology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a medical toxicology EHR

Ask every vendor, including us. The answers show whether a system was built for medical toxicology work or only adapted to it.

Ask us on a demo

Are substance, amount and intent recorded for coding?
Can consults and clinic follow-up share one record?
Is access to overdose records limited?
Are adverse effects coded differently from poisonings?
Can occupational exposures be billed to the right payer?

QUESTIONS

Medical Toxicology practices ask us

Does XEHR support medical toxicology consults?

Yes. Consults, antidotes and follow-up are documented and billed.

Can XEHR code poisonings by intent?

Yes. Substance and intent are recorded for the correct code.

Does XEHR protect overdose records?

Yes. Access is limited and recorded.

Can occupational exposure clinics use XEHR?

Yes. Exposures are documented and billed to the right payer.

Does XEHR support poison center physicians?

Yes. Consults are documented and billed where billable.

Can antidote use be recorded?

Yes. Antidotes are recorded with doses and times.

Can addiction follow-up be scheduled?

Yes. Follow-up is scheduled from the same record.

How much does XEHR cost for a medical toxicology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a medical toxicology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for medical toxicology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

Book a demo See pricing