Is T36.0X4S a billable ICD-10-CM code?

Yes. T36.0X4S is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does T36.0X4S sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50).

T36.0X4S

T36.0X4S — Poisoning by penicillins, undetermined, sequela

Billable / specific codeICD-10-CMPOA exempt

T36.0X4S is a billable, specific ICD-10-CM code for poisoning by penicillins, undetermined, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to each code from category T36

A: initial encounter
D: subsequent encounter
S: sequela

Risk adjustment

T36.0X4S does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Related codes at this level

Codes that share T36.0X4. If T36.0X4S is not quite right, the correct code is usually one of these.

Questions about T36.0X4S

Is T36.0X4S a billable ICD-10-CM code?: Yes. T36.0X4S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does T36.0X4S sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50).