T36.9
T36.9 — Poisoning by, adverse effect of and underdosing of unspecified systemic antibiotic
Non-billable headerICD-10-CM
T36.9 is a non-billable header ICD-10-CM code for poisoning by, adverse effect of and underdosing of unspecified systemic antibiotic. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category T36
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T36.9 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.
Code to one of these instead T36.9
6 child codes. Green means billable.
- T36.91Poisoning by unspecified systemic antibiotic, accidental (unintentional)
- T36.92Poisoning by unspecified systemic antibiotic, intentional self-harm
- T36.93Poisoning by unspecified systemic antibiotic, assault
- T36.94Poisoning by unspecified systemic antibiotic, undetermined
- T36.95Adverse effect of unspecified systemic antibiotic
- T36.96Underdosing of unspecified systemic antibiotic
Related codes at this level
Codes that share T36. If T36.9 is not quite right, the correct code is usually one of these.
- T36.0Poisoning by, adverse effect of and underdosing of penicillins
- T36.1Poisoning by, adverse effect of and underdosing of cephalosporins and other beta-lactam antibiotics
- T36.2Poisoning by, adverse effect of and underdosing of chloramphenicol group
- T36.3Poisoning by, adverse effect of and underdosing of macrolides
- T36.4Poisoning by, adverse effect of and underdosing of tetracyclines
- T36.5Poisoning by, adverse effect of and underdosing of aminoglycosides
- T36.6Poisoning by, adverse effect of and underdosing of rifampicins
- T36.7Poisoning by, adverse effect of and underdosing of antifungal antibiotics, systemically used
- T36.8Poisoning by, adverse effect of and underdosing of other systemic antibiotics
- T36.APoisoning by, adverse effect of and underdosing of fluoroquinolone antibiotics
Questions about T36.9
- Is T36.9 a billable ICD-10-CM code?
- No. T36.9 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T36.9 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).