T36.95XS

T36.95XS: Adverse effect of unspecified systemic antibiotic, sequela

Billable / specific codeICD-10-CMPOA exempt

T36.95XS is a billable, specific ICD-10-CM code for adverse effect of unspecified systemic antibiotic, sequela. It is valid for submission on a claim.

Check T36.95XS with the rest of the claim: free scrubber

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

Excludes1 inherited from the categories above T36.95XS

A category’s note binds every code beneath it.

Written on T36: Poisoning by, adverse effect of and underdosing of systemic antibiotics

antineoplastic antibiotics (T45.1-)
locally applied antibiotic NEC (T49.0)
topically used antibiotic for ear, nose and throat (T49.6)
topically used antibiotic for eye (T49.5)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

T36.95XS is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56625Billing and Coding: Echocardiography
A56844Billing and Coding: RAST Type Tests
A57361Billing and Coding: Monitored Anesthesia Care
A59186Billing and Coding: Magnesium

Code history

Unchanged in every release from FY2024 to FY2027.