T49.6X5D
T49.6X5D: Adverse effect of otorhinolaryngological drugs and preparations, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
T49.6X5D is a billable, specific ICD-10-CM code for adverse effect of otorhinolaryngological drugs and preparations, subsequent encounter. It is valid for submission on a claim.
Check T49.6X5D with the rest of the claim: free scrubber7th character "D": subsequent encounter
The appropriate 7th character is to be added to each code from category T49
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Other codes that can never be billed with T49.6X5D
Their own Excludes1 notes name this code, so the conflict is not listed above.
- T38.0Poisoning by, adverse effect of and underdosing of glucocorticoids and synthetic analogues
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T49.6X5D is named in 15 Medicare coverage policies: 15 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56612Billing and Coding: CT of the Head
- A56625Billing and Coding: Echocardiography
- A56844Billing and Coding: RAST Type Tests
- A57361Billing and Coding: Monitored Anesthesia Care
Code history
Unchanged in every release from FY2024 to FY2027.