Is T48.6X a billable ICD-10-CM code?

No. T48.6X is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does T48.6X 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 T48.6X?

T48.6X 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 T48.6X (T48.6) and apply to it just the same.

T48.6X

T48.6X — Poisoning by, adverse effect of and underdosing of antiasthmatics

Non-billable headerICD-10-CM

T48.6X is a non-billable header ICD-10-CM code for poisoning by, adverse effect of and underdosing of antiasthmatics. 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 T48

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above T48.6X

These are not written on T48.6X, but they bind it: a note on a category applies to every code beneath it. Billing T48.6X with anything listed here is a denial.

Written on T48.6 — Poisoning by, adverse effect of and underdosing of antiasthmatics, not elsewhere classified

poisoning by, adverse effect of and underdosing of beta-adrenoreceptor agonists not used in asthma therapy (T44.5)
poisoning by, adverse effect of and underdosing of anterior pituitary [adenohypophyseal] hormones (T38.8)

Risk adjustment

T48.6X 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

T48.6X has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead T48.6X

6 child codes. Green means billable.

Questions about T48.6X

Is T48.6X a billable ICD-10-CM code?: No. T48.6X is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does T48.6X 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 T48.6X?: T48.6X 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 T48.6X (T48.6) and apply to it just the same.