T45.0X5D — Adverse effect of antiallergic and antiemetic drugs, subsequent encounter
T45.0X5D is a billable, specific ICD-10-CM code for adverse effect of antiallergic and antiemetic drugs, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category T45
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above T45.0X5D
These are not written on T45.0X5D, but they bind it: a note on a category applies to every code beneath it. Billing T45.0X5D with anything listed here is a denial.
Risk adjustment
T45.0X5D 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.
Medicare coverage
T45.0X5D is named in 23 Medicare coverage policies — 23 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A56558Billing and Coding: Allergy Testing
- A56558Billing and Coding: Allergy Testing
- A56612Billing and Coding: CT of the Head
Code history
T45.0X5D has not changed since FY2024 — no addition, revision or deletion across the FY2024–FY2027 ICD-10-CM releases.
Related codes at this level
Codes that share T45.0X5. If T45.0X5D is not quite right, the correct code is usually one of these.
Questions about T45.0X5D
- Is T45.0X5D a billable ICD-10-CM code?
- Yes. T45.0X5D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T45.0X5D 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 T45.0X5D?
- T45.0X5D 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 T45.0X5D (T45.0) and apply to it just the same.