T46.995
T46.995 — Adverse effect of other agents primarily affecting the cardiovascular system
Non-billable headerICD-10-CM
T46.995 is a non-billable header ICD-10-CM code for adverse effect of other 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
Risk adjustment
T46.995 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 T46.995
3 child codes. Green means billable.
- T46.995AAdverse effect of other agents primarily affecting the cardiovascular system, initial encounter
- T46.995DAdverse effect of other agents primarily affecting the cardiovascular system, subsequent encounter
- T46.995SAdverse effect of other agents primarily affecting the cardiovascular system, sequela
Related codes at this level
Codes that share T46.99. If T46.995 is not quite right, the correct code is usually one of these.
- T46.991Poisoning by other agents primarily affecting the cardiovascular system, accidental (unintentional)
- T46.992Poisoning by other agents primarily affecting the cardiovascular system, intentional self-harm
- T46.993Poisoning by other agents primarily affecting the cardiovascular system, assault
- T46.994Poisoning by other agents primarily affecting the cardiovascular system, undetermined
- T46.996Underdosing of other agents primarily affecting the cardiovascular system
Questions about T46.995
- Is T46.995 a billable ICD-10-CM code?
- No. T46.995 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T46.995 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).