T46.2X5D

Adverse effect of other antidysrhythmic drugs, subsequent encounter

Billable / specificPOA exempt

T46.2X5D 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 T46)

  • 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.

  • poisoning by, adverse effect of and underdosing of beta-adrenoreceptor antagonists (T44.7-) (from T46.2)
  • toxic reaction to local anesthesia in pregnancy (O29.3-) (from T46)
  • poisoning by, adverse effect of and underdosing of metaraminol (T44.4) (from T46)

Excludes2

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

  • birth trauma (P10-P15) (from T46)
  • obstetric trauma (O70-O71) (from T46)
  • abuse and dependence of psychoactive substances (F10-F19) (from T46)
  • abuse of non-dependence-producing substances (F55.-) (from T46)
  • immunodeficiency due to drugs (D84.821) (from T46)
  • drug reaction and poisoning affecting newborn (P00-P96) (from T46)
  • pathological drug intoxication (inebriation) (F10-F19) (from T46)

Code first

Sequence the underlying condition first.

  • , for adverse effects, the nature of the adverse effect, such as: (from T46)
  • adverse effect NOS (T88.7) (from T46)
  • aspirin gastritis (K29.-) (from T46)
  • blood disorders (D56-D76) (from T46)
  • contact dermatitis (L23-L25) (from T46)
  • dermatitis due to substances taken internally (L27.-) (from T46)
  • nephropathy (N14.0-N14.2) (from T46)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify any retained foreign body, if applicable (Z18.-) (from T46)
  • code(s) to specify: (from T46)
  • manifestations of poisoning (from T46)
  • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9) (from T46)
  • underdosing of medication regimen (Z91.12-, Z91.13-) (from T46)

7th character

The 7th character values that apply to this code (defined at T46). Use the placeholder "X" for missing positions.

CharacterMeaning
Ainitial encounter
Dsubsequent encounter
Ssequela

Parent code

  • T46.2X5Adverse effect of other antidysrhythmic drugsNeeds 7th char

Related codes

  • T46.2X5AAdverse effect of other antidysrhythmic drugs, initial encounterBillable
  • T46.2X5SAdverse effect of other antidysrhythmic drugs, sequelaBillable

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