T36.1X5S
T36.1X5S: Adverse effect of cephalosporins and other beta-lactam antibiotics, sequela
Billable / specific codeICD-10-CMPOA exempt
T36.1X5S is a billable, specific ICD-10-CM code for adverse effect of cephalosporins and other beta-lactam antibiotics, sequela. It is valid for submission on a claim.
Check T36.1X5S with the rest of the claim: free scrubber7th 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
Excludes1 inherited from the categories above T36.1X5S
A category’s note binds every code beneath it.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T36.1X5S is named in 19 Medicare coverage policies: 19 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56538Billing and Coding: Allergen Immunotherapy
- A56558Billing and Coding: Allergy Testing
- A56625Billing and Coding: Echocardiography
- A56844Billing and Coding: RAST Type Tests
Code history
Unchanged in every release from FY2024 to FY2027.