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T46

T46: Poisoning by, adverse effect of and underdosing of agents primarily affecting the cardiovascular system

Non-billable headerICD-10-CM

T46 is a non-billable header ICD-10-CM code for poisoning by, adverse effect of and underdosing of agents primarily affecting the cardiovascular system. 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 T46

A
initial encounter
D
subsequent encounter
S
sequela

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • poisoning by, adverse effect of and underdosing of metaraminol (T44.4)

Other codes that can never be billed with T46

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • T43.5Poisoning by, adverse effect of and underdosing of other and unspecified antipsychotics and neuroleptics
  • T46.3Poisoning by, adverse effect of and underdosing of coronary vasodilators

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead T46

10 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.