Is T49.5X6 a billable ICD-10-CM code?

No. T49.5X6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does T49.5X6 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).

T49.5X6

T49.5X6 — Underdosing of ophthalmological drugs and preparations

Non-billable headerICD-10-CM

T49.5X6 is a non-billable header ICD-10-CM code for underdosing of ophthalmological drugs and preparations. 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

Risk adjustment

T49.5X6 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 T49.5X6

3 child codes. Green means billable.

Related codes at this level

Codes that share T49.5X. If T49.5X6 is not quite right, the correct code is usually one of these.

Questions about T49.5X6

Is T49.5X6 a billable ICD-10-CM code?: No. T49.5X6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does T49.5X6 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).