Is T41.3X4 a billable ICD-10-CM code?

No. T41.3X4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does T41.3X4 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).

What cannot be coded together with T41.3X4?

T41.3X4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above T41.3X4 (T41) and apply to it just the same.

T41.3X4

T41.3X4 — Poisoning by local anesthetics, undetermined

Non-billable headerICD-10-CM

T41.3X4 is a non-billable header ICD-10-CM code for poisoning by local anesthetics, undetermined. 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 T41

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above T41.3X4

These are not written on T41.3X4, but they bind it: a note on a category applies to every code beneath it. Billing T41.3X4 with anything listed here is a denial.

Written on T41 — Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases

benzodiazepines (T42.4-)
cocaine (T40.5-)
complications of anesthesia during pregnancy (O29.-)
complications of anesthesia during labor and delivery (O74.-)
complications of anesthesia during the puerperium (O89.-)
opioids (T40.0-T40.2-)

Excludes2 inherited from the categories above T41.3X4

Also inherited, and the opposite of Excludes1: these conditions are not part of T41.3X4, but a patient can have both, so you may code both.

Written on T41.3 — Poisoning by, adverse effect of and underdosing of local anesthetics

poisoning by cocaine used as a central nervous system stimulant (T40.5X1-T40.5X4)

Risk adjustment

T41.3X4 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 history

T41.3X4 has not changed since FY2024 — no addition, revision or deletion across the FY2024–FY2027 ICD-10-CM releases.

Code to one of these instead T41.3X4

3 child codes. Green means billable.

Related codes at this level

Codes that share T41.3X. If T41.3X4 is not quite right, the correct code is usually one of these.

Questions about T41.3X4

Is T41.3X4 a billable ICD-10-CM code?: No. T41.3X4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does T41.3X4 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).
What cannot be coded together with T41.3X4?: T41.3X4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above T41.3X4 (T41) and apply to it just the same.