T37.1X5D

Adverse effect of antimycobacterial drugs, subsequent encounter

Billable / specificPOA exempt

T37.1X5D is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from T37)

  • adverse effect of correct substance properly administered
  • poisoning by overdose of substance
  • poisoning by wrong substance given or taken in error
  • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
  • Note: Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • Note: The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
  • Note: The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.

Excludes1

Not coded here — never report together with this code.

  • rifampicins (T36.6-) (from T37.1)
  • streptomycin (T36.5-) (from T37.1)
  • toxic reaction to local anesthesia in pregnancy (O29.3-) (from T37)
  • anti-infectives topically used for ear, nose and throat (T49.6-) (from T37)
  • anti-infectives topically used for eye (T49.5-) (from T37)
  • locally applied anti-infectives NEC (T49.0-) (from T37)

Excludes2

Not included here — may be reported together when both conditions exist.

  • birth trauma (P10-P15) (from T37)
  • obstetric trauma (O70-O71) (from T37)
  • abuse and dependence of psychoactive substances (F10-F19) (from T37)
  • abuse of non-dependence-producing substances (F55.-) (from T37)
  • immunodeficiency due to drugs (D84.821) (from T37)
  • drug reaction and poisoning affecting newborn (P00-P96) (from T37)
  • pathological drug intoxication (inebriation) (F10-F19) (from T37)

Code first

Sequence the underlying condition first.

  • , for adverse effects, the nature of the adverse effect, such as: (from T37)
  • adverse effect NOS (T88.7) (from T37)
  • aspirin gastritis (K29.-) (from T37)
  • blood disorders (D56-D76) (from T37)
  • contact dermatitis (L23-L25) (from T37)
  • dermatitis due to substances taken internally (L27.-) (from T37)
  • nephropathy (N14.0-N14.2) (from T37)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify any retained foreign body, if applicable (Z18.-) (from T37)
  • code(s) to specify: (from T37)
  • manifestations of poisoning (from T37)
  • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9) (from T37)
  • underdosing of medication regimen (Z91.12-, Z91.13-) (from T37)

7th character

The 7th character values that apply to this code (defined at T37). Use the placeholder "X" for missing positions.

CharacterMeaning
Ainitial encounter
Dsubsequent encounter
Ssequela

Parent code

  • T37.1X5Adverse effect of antimycobacterial drugsNeeds 7th char

Related codes

  • T37.1X5AAdverse effect of antimycobacterial drugs, initial encounterBillable
  • T37.1X5SAdverse effect of antimycobacterial drugs, sequelaBillable

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