T45.602D

Poisoning by unspecified fibrinolysis-affecting drugs, intentional self-harm, subsequent encounter

Billable / specificPOA exempt

T45.602D 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 T45)

  • 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.

  • toxic reaction to local anesthesia in pregnancy (O29.3-) (from T45)

Excludes2

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

  • birth trauma (P10-P15) (from T45)
  • obstetric trauma (O70-O71) (from T45)
  • abuse and dependence of psychoactive substances (F10-F19) (from T45)
  • abuse of non-dependence-producing substances (F55.-) (from T45)
  • immunodeficiency due to drugs (D84.821) (from T45)
  • drug reaction and poisoning affecting newborn (P00-P96) (from T45)
  • pathological drug intoxication (inebriation) (F10-F19) (from T45)

Code first

Sequence the underlying condition first.

  • , for adverse effects, the nature of the adverse effect, such as: (from T45)
  • adverse effect NOS (T88.7) (from T45)
  • aspirin gastritis (K29.-) (from T45)
  • blood disorders (D56-D76) (from T45)
  • contact dermatitis (L23-L25) (from T45)
  • dermatitis due to substances taken internally (L27.-) (from T45)
  • nephropathy (N14.0-N14.2) (from T45)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify any retained foreign body, if applicable (Z18.-) (from T45)
  • code(s) to specify: (from T45)
  • manifestations of poisoning (from T45)
  • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9) (from T45)
  • underdosing of medication regimen (Z91.12-, Z91.13-) (from T45)

7th character

The 7th character values that apply to this code (defined at T45). Use the placeholder "X" for missing positions.

CharacterMeaning
Ainitial encounter
Dsubsequent encounter
Ssequela

Parent code

  • T45.602Poisoning by unspecified fibrinolysis-affecting drugs, intentional self-harmNeeds 7th char

Related codes

  • T45.602APoisoning by unspecified fibrinolysis-affecting drugs, intentional self-harm, initial encounterBillable
  • T45.602SPoisoning by unspecified fibrinolysis-affecting drugs, intentional self-harm, sequelaBillable

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