T48.904
T48.904 — Poisoning by unspecified agents primarily acting on the respiratory system, undetermined
Non-billable headerICD-10-CM
T48.904 is a non-billable header ICD-10-CM code for poisoning by unspecified agents primarily acting on the respiratory system, 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 T48
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T48.904 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 T48.904
3 child codes. Green means billable.
- T48.904APoisoning by unspecified agents primarily acting on the respiratory system, undetermined, initial encounter
- T48.904DPoisoning by unspecified agents primarily acting on the respiratory system, undetermined, subsequent encounter
- T48.904SPoisoning by unspecified agents primarily acting on the respiratory system, undetermined, sequela
Related codes at this level
Codes that share T48.90. If T48.904 is not quite right, the correct code is usually one of these.
- T48.901Poisoning by unspecified agents primarily acting on the respiratory system, accidental (unintentional)
- T48.902Poisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm
- T48.903Poisoning by unspecified agents primarily acting on the respiratory system, assault
- T48.905Adverse effect of unspecified agents primarily acting on the respiratory system
- T48.906Underdosing of unspecified agents primarily acting on the respiratory system
Questions about T48.904
- Is T48.904 a billable ICD-10-CM code?
- No. T48.904 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T48.904 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).