MCMCB Pro
T49

T49Poisoning by, adverse effect of and underdosing of topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinorlaryngological and dental drugs

Non-billable headerICD-10-CM

T49 is a non-billable header ICD-10-CM code for poisoning by, adverse effect of and underdosing of topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinorlaryngological and dental drugs. 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 T49

A
initial encounter
D
subsequent encounter
S
sequela

Includes

Conditions this code covers.

  • poisoning by, adverse effect of and underdosing of glucocorticoids, topically used

Other codes that can never be billed with T49

These codes carry an Excludes1 note pointing at T49. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T49 alone.

  • T36Poisoning by, adverse effect of and underdosing of systemic antibiotics
  • T37Poisoning by, adverse effect of and underdosing of other systemic anti-infectives and antiparasitics
  • T38.0Poisoning by, adverse effect of and underdosing of glucocorticoids and synthetic analogues

Risk adjustment

T49 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 T49

10 child codes. Green means billable.

Questions about T49

Is T49 a billable ICD-10-CM code?
No. T49 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does T49 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).
ICD-10-CMFY2026-Apr· effective April 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.