MCMedicalCodingSoftware
T49.96XD

T49.96XD — Underdosing of unspecified topical agent, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

T49.96XD is a billable, specific ICD-10-CM code for underdosing of unspecified topical agent, subsequent encounter. It is valid for submission on a claim.

7th 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 T49.96XD

These codes carry an Excludes1 note pointing at T49.96XD. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T49.96XD alone.

  • T38.0Poisoning by, adverse effect of and underdosing of glucocorticoids and synthetic analogues

Risk adjustment

T49.96XD 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

T49.96XD has not changed since FY2024 — no addition, revision or deletion across the FY2024–FY2027 ICD-10-CM releases.

Related codes at this level

Codes that share T49.96. If T49.96XD is not quite right, the correct code is usually one of these.

Questions about T49.96XD

Is T49.96XD a billable ICD-10-CM code?
Yes. T49.96XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does T49.96XD 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-CMFY2027· effective October 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.