T44Not billable, use a more specific code below

Poisoning by, adverse effect of and underdosing of drugs primarily affecting the autonomic nervous system

In Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes

198 billable codes under T44: none are a CC or MCC; 11 map to HCC 155 (Major Depression, Moderate or Severe, without Psychosis).An HCC counts toward a Medicare Advantage patient's risk score.

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Instructional notes

Also applies, from Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50)

These notes sit on T36-T50 and apply to every code under it, including T44.

Includes: conditions that are coded here

  • adverse effect of correct substance properly administered
  • poisoning by overdose of substance
  • poisoning by wrong substance given or taken in error
  • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed

Excludes1: not coded here, use a different code

  • toxic reaction to local anesthesia in pregnancy (O29.3-)

Excludes2: not included here, code separately if applicable

  • abuse and dependence of psychoactive substances (F10-F19)
  • abuse of non-dependence-producing substances (F55.-)
  • immunodeficiency due to drugs (D84.821)
  • drug reaction and poisoning affecting newborn (P00-P96)
  • pathological drug intoxication (inebriation) (F10-F19)

Code first: code the underlying condition first, then this code

  • for adverse effects, the nature of the adverse effect, such as:
  • adverse effect NOS (T88.7)
  • aspirin gastritis (K29.-)
  • blood disorders (D56-D76)
  • contact dermatitis (L23-L25)
  • dermatitis due to substances taken internally (L27.-)
  • nephropathy (N14.0-N14.2)

Use additional code: add a second code for this, listed after this one

  • code(s) to specify:
  • manifestations of poisoning
  • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
  • underdosing of medication regimen (Z91.12-, Z91.13-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Other Chapter 19 topics:

Read Section I.C.19 (page 77)

All codes under T44

T44 can't be used on a claim. Pick a billable code below; grey headings group them.

T44 MS-DRGs

As the principal diagnosis, the billable codes under T44 group to these 9 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Drug Reactions

Most of the time, medicines make our lives better. They reduce aches and pains, fight infections, and control problems such as high blood pressure or diabetes. But medicines can also cause unwanted reactions, such as drug interactions, side effects, and allergies.

Read more about drug reactions on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.