ICD-10 · PDGM grouping
T48 Poisoning by, adverse effect of and underdosing of agents primarily acting on smooth and skeletal muscles and the respiratory system
All 180 codes in the T48 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
180
Can lead a claim
120
Cannot lead a claim
60
What CMS assigns to T48
120 of the 180 codes group to MMTA - Other; 60 are assigned no clinical group. None of the 180 is assigned a comorbidity subgroup. 120 of the 180 can lead a claim.
Every code in T48
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| T48.0 Poisoning by, adverse effect of and underdosing of oxytocic drugs | ||||
| T48.0X Poisoning by, adverse effect of and underdosing of oxytocic drugs | ||||
| T48.0X1 Poisoning by oxytocic drugs, accidental (unintentional) | ||||
| T48.0X1A | Poisoning by oxytocic drugs, accidental (unintentional), initial encounterCMS: Poisoning by oxytocic drugs, accidental, init | Can lead a claim | A | None |
| T48.0X1D | Poisoning by oxytocic drugs, accidental (unintentional), subsequent encounterCMS: Poisoning by oxytocic drugs, accidental, subs | Can lead a claim | A | None |
| T48.0X1S | Poisoning by oxytocic drugs, accidental (unintentional), sequelaCMS: Poisoning by oxytocic drugs, accidental, sequela | Can lead a claim | A | None |
| T48.0X2 Poisoning by oxytocic drugs, intentional self-harm | ||||
| T48.0X2A | Poisoning by oxytocic drugs, intentional self-harm, initial encounterCMS: Poisoning by oxytocic drugs, intentional self-harm, init | Can lead a claim | A | None |
| T48.0X2D | Poisoning by oxytocic drugs, intentional self-harm, subsequent encounterCMS: Poisoning by oxytocic drugs, intentional self-harm, subs | Can lead a claim | A | None |
| T48.0X2S | Poisoning by oxytocic drugs, intentional self-harm, sequela | Can lead a claim | A | None |
| T48.0X3 Poisoning by oxytocic drugs, assault | ||||
| T48.0X3A | Poisoning by oxytocic drugs, assault, initial encounter | Can lead a claim | A | None |
| T48.0X3D | Poisoning by oxytocic drugs, assault, subsequent encounter | Can lead a claim | A | None |
| T48.0X3S | Poisoning by oxytocic drugs, assault, sequela | Can lead a claim | A | None |
| T48.0X4 Poisoning by oxytocic drugs, undetermined | ||||
| T48.0X4A | Poisoning by oxytocic drugs, undetermined, initial encounter | Can lead a claim | A | None |
| T48.0X4D | Poisoning by oxytocic drugs, undetermined, subsequent encounterCMS: Poisoning by oxytocic drugs, undetermined, subs encntr | Can lead a claim | A | None |
| T48.0X4S | Poisoning by oxytocic drugs, undetermined, sequela | Can lead a claim | A | None |
| T48.0X5 Adverse effect of oxytocic drugs | ||||
| T48.0X5A | Adverse effect of oxytocic drugs, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.0X5D | Adverse effect of oxytocic drugs, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.0X5S | Adverse effect of oxytocic drugs, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.0X6 Underdosing of oxytocic drugs | ||||
| T48.0X6A | Underdosing of oxytocic drugs, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.0X6D | Underdosing of oxytocic drugs, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.0X6S | Underdosing of oxytocic drugs, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.1 Poisoning by, adverse effect of and underdosing of skeletal muscle relaxants [neuromuscular blocking agents] | ||||
| T48.1X Poisoning by, adverse effect of and underdosing of skeletal muscle relaxants [neuromuscular blocking agents] | ||||
| T48.1X1 Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], accidental (unintentional) | ||||
| T48.1X1A | Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], accidental (unintentional), initial encounterCMS: Poisoning by skeletal muscle relaxants, accidental, init | Can lead a claim | A | None |
| T48.1X1D | Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], accidental (unintentional), subsequent encounterCMS: Poisoning by skeletal muscle relaxants, accidental, subs | Can lead a claim | A | None |
| T48.1X1S | Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], accidental (unintentional), sequelaCMS: Poisoning by skeletal muscle relaxants, accidental, sequela | Can lead a claim | A | None |
| T48.1X2 Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional self-harm | ||||
| T48.1X2A | Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional self-harm, initial encounterCMS: Poisoning by skeletal muscle relaxants, self-harm, init | Can lead a claim | A | None |
| T48.1X2D | Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional self-harm, subsequent encounterCMS: Poisoning by skeletal muscle relaxants, self-harm, subs | Can lead a claim | A | None |
| T48.1X2S | Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional self-harm, sequelaCMS: Poisoning by skeletal muscle relaxants, self-harm, sequela | Can lead a claim | A | None |
| T48.1X3 Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], assault | ||||
| T48.1X3A | Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], assault, initial encounterCMS: Poisoning by skeletal muscle relaxants, assault, init encntr | Can lead a claim | A | None |
| T48.1X3D | Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], assault, subsequent encounterCMS: Poisoning by skeletal muscle relaxants, assault, subs encntr | Can lead a claim | A | None |
| T48.1X3S | Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], assault, sequelaCMS: Poisoning by skeletal muscle relaxants, assault, sequela | Can lead a claim | A | None |
| T48.1X4 Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], undetermined | ||||
| T48.1X4A | Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], undetermined, initial encounterCMS: Poisoning by skeletal muscle relaxants, undetermined, init | Can lead a claim | A | None |
| T48.1X4D | Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], undetermined, subsequent encounterCMS: Poisoning by skeletal muscle relaxants, undetermined, subs | Can lead a claim | A | None |
| T48.1X4S | Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], undetermined, sequelaCMS: Poisoning by skeletal muscle relaxants, undet, sequela | Can lead a claim | A | None |
| T48.1X5 Adverse effect of skeletal muscle relaxants [neuromuscular blocking agents] | ||||
| T48.1X5A | Adverse effect of skeletal muscle relaxants [neuromuscular blocking agents], initial encounterCMS: Adverse effect of skeletal muscle relaxants, init encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.1X5D | Adverse effect of skeletal muscle relaxants [neuromuscular blocking agents], subsequent encounterCMS: Adverse effect of skeletal muscle relaxants, subs encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.1X5S | Adverse effect of skeletal muscle relaxants [neuromuscular blocking agents], sequelaCMS: Adverse effect of skeletal muscle relaxants, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.1X6 Underdosing of skeletal muscle relaxants [neuromuscular blocking agents] | ||||
| T48.1X6A | Underdosing of skeletal muscle relaxants [neuromuscular blocking agents], initial encounterCMS: Underdosing of skeletal muscle relaxants, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.1X6D | Underdosing of skeletal muscle relaxants [neuromuscular blocking agents], subsequent encounterCMS: Underdosing of skeletal muscle relaxants, subs encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.1X6S | Underdosing of skeletal muscle relaxants [neuromuscular blocking agents], sequelaCMS: Underdosing of skeletal muscle relaxants, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.2 Poisoning by, adverse effect of and underdosing of other and unspecified drugs acting on muscles | ||||
| T48.20 Poisoning by, adverse effect of and underdosing of unspecified drugs acting on muscles | ||||
| T48.201 Poisoning by unspecified drugs acting on muscles, accidental (unintentional) | ||||
| T48.201A | Poisoning by unspecified drugs acting on muscles, accidental (unintentional), initial encounterCMS: Poisoning by unsp drugs acting on muscles, accidental, init | Can lead a claim | A | None |
| T48.201D | Poisoning by unspecified drugs acting on muscles, accidental (unintentional), subsequent encounterCMS: Poisoning by unsp drugs acting on muscles, accidental, subs | Can lead a claim | A | None |
| T48.201S | Poisoning by unspecified drugs acting on muscles, accidental (unintentional), sequelaCMS: Poisoning by unsp drugs acting on muscles, acc, sequela | Can lead a claim | A | None |
| T48.202 Poisoning by unspecified drugs acting on muscles, intentional self-harm | ||||
| T48.202A | Poisoning by unspecified drugs acting on muscles, intentional self-harm, initial encounterCMS: Poisoning by unsp drugs acting on muscles, self-harm, init | Can lead a claim | A | None |
| T48.202D | Poisoning by unspecified drugs acting on muscles, intentional self-harm, subsequent encounterCMS: Poisoning by unsp drugs acting on muscles, self-harm, subs | Can lead a claim | A | None |
| T48.202S | Poisoning by unspecified drugs acting on muscles, intentional self-harm, sequelaCMS: Poisn by unsp drugs acting on muscles, self-harm, sequela | Can lead a claim | A | None |
| T48.203 Poisoning by unspecified drugs acting on muscles, assault | ||||
| T48.203A | Poisoning by unspecified drugs acting on muscles, assault, initial encounterCMS: Poisoning by unsp drugs acting on muscles, assault, init | Can lead a claim | A | None |
| T48.203D | Poisoning by unspecified drugs acting on muscles, assault, subsequent encounterCMS: Poisoning by unsp drugs acting on muscles, assault, subs | Can lead a claim | A | None |
| T48.203S | Poisoning by unspecified drugs acting on muscles, assault, sequelaCMS: Poisoning by unsp drugs acting on muscles, assault, sequela | Can lead a claim | A | None |
| T48.204 Poisoning by unspecified drugs acting on muscles, undetermined | ||||
| T48.204A | Poisoning by unspecified drugs acting on muscles, undetermined, initial encounterCMS: Poisoning by unsp drugs acting on muscles, undet, init | Can lead a claim | A | None |
| T48.204D | Poisoning by unspecified drugs acting on muscles, undetermined, subsequent encounterCMS: Poisoning by unsp drugs acting on muscles, undet, subs | Can lead a claim | A | None |
| T48.204S | Poisoning by unspecified drugs acting on muscles, undetermined, sequelaCMS: Poisoning by unsp drugs acting on muscles, undet, sequela | Can lead a claim | A | None |
| T48.205 Adverse effect of unspecified drugs acting on muscles | ||||
| T48.205A | Adverse effect of unspecified drugs acting on muscles, initial encounterCMS: Adverse effect of unsp drugs acting on muscles, init encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.205D | Adverse effect of unspecified drugs acting on muscles, subsequent encounterCMS: Adverse effect of unsp drugs acting on muscles, subs encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.205S | Adverse effect of unspecified drugs acting on muscles, sequelaCMS: Adverse effect of unsp drugs acting on muscles, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.206 Underdosing of unspecified drugs acting on muscles | ||||
| T48.206A | Underdosing of unspecified drugs acting on muscles, initial encounterCMS: Underdosing of unsp drugs acting on muscles, init encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.206D | Underdosing of unspecified drugs acting on muscles, subsequent encounterCMS: Underdosing of unsp drugs acting on muscles, subs encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.206S | Underdosing of unspecified drugs acting on muscles, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.29 Poisoning by, adverse effect of and underdosing of other drugs acting on muscles | ||||
| T48.291 Poisoning by other drugs acting on muscles, accidental (unintentional) | ||||
| T48.291A | Poisoning by other drugs acting on muscles, accidental (unintentional), initial encounterCMS: Poisoning by oth drugs acting on muscles, accidental, init | Can lead a claim | A | None |
| T48.291D | Poisoning by other drugs acting on muscles, accidental (unintentional), subsequent encounterCMS: Poisoning by oth drugs acting on muscles, accidental, subs | Can lead a claim | A | None |
| T48.291S | Poisoning by other drugs acting on muscles, accidental (unintentional), sequelaCMS: Poisoning by oth drugs acting on muscles, acc, sequela | Can lead a claim | A | None |
| T48.292 Poisoning by other drugs acting on muscles, intentional self-harm | ||||
| T48.292A | Poisoning by other drugs acting on muscles, intentional self-harm, initial encounterCMS: Poisoning by oth drugs acting on muscles, self-harm, init | Can lead a claim | A | None |
| T48.292D | Poisoning by other drugs acting on muscles, intentional self-harm, subsequent encounterCMS: Poisoning by oth drugs acting on muscles, self-harm, subs | Can lead a claim | A | None |
| T48.292S | Poisoning by other drugs acting on muscles, intentional self-harm, sequelaCMS: Poisoning by oth drugs acting on muscles, self-harm, sequela | Can lead a claim | A | None |
| T48.293 Poisoning by other drugs acting on muscles, assault | ||||
| T48.293A | Poisoning by other drugs acting on muscles, assault, initial encounterCMS: Poisoning by oth drugs acting on muscles, assault, init | Can lead a claim | A | None |
| T48.293D | Poisoning by other drugs acting on muscles, assault, subsequent encounterCMS: Poisoning by oth drugs acting on muscles, assault, subs | Can lead a claim | A | None |
| T48.293S | Poisoning by other drugs acting on muscles, assault, sequela | Can lead a claim | A | None |
| T48.294 Poisoning by other drugs acting on muscles, undetermined | ||||
| T48.294A | Poisoning by other drugs acting on muscles, undetermined, initial encounterCMS: Poisoning by oth drugs acting on muscles, undetermined, init | Can lead a claim | A | None |
| T48.294D | Poisoning by other drugs acting on muscles, undetermined, subsequent encounterCMS: Poisoning by oth drugs acting on muscles, undetermined, subs | Can lead a claim | A | None |
| T48.294S | Poisoning by other drugs acting on muscles, undetermined, sequelaCMS: Poisoning by oth drugs acting on muscles, undet, sequela | Can lead a claim | A | None |
| T48.295 Adverse effect of other drugs acting on muscles | ||||
| T48.295A | Adverse effect of other drugs acting on muscles, initial encounterCMS: Adverse effect of other drugs acting on muscles, init encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.295D | Adverse effect of other drugs acting on muscles, subsequent encounterCMS: Adverse effect of other drugs acting on muscles, subs encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.295S | Adverse effect of other drugs acting on muscles, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.296 Underdosing of other drugs acting on muscles | ||||
| T48.296A | Underdosing of other drugs acting on muscles, initial encounterCMS: Underdosing of other drugs acting on muscles, init encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.296D | Underdosing of other drugs acting on muscles, subsequent encounterCMS: Underdosing of other drugs acting on muscles, subs encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.296S | Underdosing of other drugs acting on muscles, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.3 Poisoning by, adverse effect of and underdosing of antitussives | ||||
| T48.3X Poisoning by, adverse effect of and underdosing of antitussives | ||||
| T48.3X1 Poisoning by antitussives, accidental (unintentional) | ||||
| T48.3X1A | Poisoning by antitussives, accidental (unintentional), initial encounterCMS: Poisoning by antitussives, accidental (unintentional), init | Can lead a claim | A | None |
| T48.3X1D | Poisoning by antitussives, accidental (unintentional), subsequent encounterCMS: Poisoning by antitussives, accidental (unintentional), subs | Can lead a claim | A | None |
| T48.3X1S | Poisoning by antitussives, accidental (unintentional), sequelaCMS: Poisoning by antitussives, accidental, sequela | Can lead a claim | A | None |
| T48.3X2 Poisoning by antitussives, intentional self-harm | ||||
| T48.3X2A | Poisoning by antitussives, intentional self-harm, initial encounterCMS: Poisoning by antitussives, intentional self-harm, init | Can lead a claim | A | None |
| T48.3X2D | Poisoning by antitussives, intentional self-harm, subsequent encounterCMS: Poisoning by antitussives, intentional self-harm, subs | Can lead a claim | A | None |
| T48.3X2S | Poisoning by antitussives, intentional self-harm, sequela | Can lead a claim | A | None |
| T48.3X3 Poisoning by antitussives, assault | ||||
| T48.3X3A | Poisoning by antitussives, assault, initial encounter | Can lead a claim | A | None |
| T48.3X3D | Poisoning by antitussives, assault, subsequent encounter | Can lead a claim | A | None |
| T48.3X3S | Poisoning by antitussives, assault, sequela | Can lead a claim | A | None |
| T48.3X4 Poisoning by antitussives, undetermined | ||||
| T48.3X4A | Poisoning by antitussives, undetermined, initial encounter | Can lead a claim | A | None |
| T48.3X4D | Poisoning by antitussives, undetermined, subsequent encounterCMS: Poisoning by antitussives, undetermined, subs encntr | Can lead a claim | A | None |
| T48.3X4S | Poisoning by antitussives, undetermined, sequela | Can lead a claim | A | None |
| T48.3X5 Adverse effect of antitussives | ||||
| T48.3X5A | Adverse effect of antitussives, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.3X5D | Adverse effect of antitussives, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.3X5S | Adverse effect of antitussives, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.3X6 Underdosing of antitussives | ||||
| T48.3X6A | Underdosing of antitussives, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.3X6D | Underdosing of antitussives, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.3X6S | Underdosing of antitussives, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.4 Poisoning by, adverse effect of and underdosing of expectorants | ||||
| T48.4X Poisoning by, adverse effect of and underdosing of expectorants | ||||
| T48.4X1 Poisoning by expectorants, accidental (unintentional) | ||||
| T48.4X1A | Poisoning by expectorants, accidental (unintentional), initial encounterCMS: Poisoning by expectorants, accidental (unintentional), init | Can lead a claim | A | None |
| T48.4X1D | Poisoning by expectorants, accidental (unintentional), subsequent encounterCMS: Poisoning by expectorants, accidental (unintentional), subs | Can lead a claim | A | None |
| T48.4X1S | Poisoning by expectorants, accidental (unintentional), sequelaCMS: Poisoning by expectorants, accidental, sequela | Can lead a claim | A | None |
| T48.4X2 Poisoning by expectorants, intentional self-harm | ||||
| T48.4X2A | Poisoning by expectorants, intentional self-harm, initial encounterCMS: Poisoning by expectorants, intentional self-harm, init | Can lead a claim | A | None |
| T48.4X2D | Poisoning by expectorants, intentional self-harm, subsequent encounterCMS: Poisoning by expectorants, intentional self-harm, subs | Can lead a claim | A | None |
| T48.4X2S | Poisoning by expectorants, intentional self-harm, sequela | Can lead a claim | A | None |
| T48.4X3 Poisoning by expectorants, assault | ||||
| T48.4X3A | Poisoning by expectorants, assault, initial encounter | Can lead a claim | A | None |
| T48.4X3D | Poisoning by expectorants, assault, subsequent encounter | Can lead a claim | A | None |
| T48.4X3S | Poisoning by expectorants, assault, sequela | Can lead a claim | A | None |
| T48.4X4 Poisoning by expectorants, undetermined | ||||
| T48.4X4A | Poisoning by expectorants, undetermined, initial encounter | Can lead a claim | A | None |
| T48.4X4D | Poisoning by expectorants, undetermined, subsequent encounterCMS: Poisoning by expectorants, undetermined, subs encntr | Can lead a claim | A | None |
| T48.4X4S | Poisoning by expectorants, undetermined, sequela | Can lead a claim | A | None |
| T48.4X5 Adverse effect of expectorants | ||||
| T48.4X5A | Adverse effect of expectorants, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.4X5D | Adverse effect of expectorants, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.4X5S | Adverse effect of expectorants, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.4X6 Underdosing of expectorants | ||||
| T48.4X6A | Underdosing of expectorants, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.4X6D | Underdosing of expectorants, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.4X6S | Underdosing of expectorants, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.5 Poisoning by, adverse effect of and underdosing of other anti-common-cold drugs | ||||
| T48.5X Poisoning by, adverse effect of and underdosing of other anti-common-cold drugs | ||||
| T48.5X1 Poisoning by other anti-common-cold drugs, accidental (unintentional) | ||||
| T48.5X1A | Poisoning by other anti-common-cold drugs, accidental (unintentional), initial encounterCMS: Poisoning by oth anti-cmn-cold drugs, accidental, init | Can lead a claim | A | None |
| T48.5X1D | Poisoning by other anti-common-cold drugs, accidental (unintentional), subsequent encounterCMS: Poisoning by oth anti-cmn-cold drugs, accidental, subs | Can lead a claim | A | None |
| T48.5X1S | Poisoning by other anti-common-cold drugs, accidental (unintentional), sequelaCMS: Poisoning by oth anti-cmn-cold drugs, accidental, sequela | Can lead a claim | A | None |
| T48.5X2 Poisoning by other anti-common-cold drugs, intentional self-harm | ||||
| T48.5X2A | Poisoning by other anti-common-cold drugs, intentional self-harm, initial encounterCMS: Poisoning by oth anti-common-cold drugs, self-harm, init | Can lead a claim | A | None |
| T48.5X2D | Poisoning by other anti-common-cold drugs, intentional self-harm, subsequent encounterCMS: Poisoning by oth anti-common-cold drugs, self-harm, subs | Can lead a claim | A | None |
| T48.5X2S | Poisoning by other anti-common-cold drugs, intentional self-harm, sequelaCMS: Poisoning by oth anti-common-cold drugs, self-harm, sequela | Can lead a claim | A | None |
| T48.5X3 Poisoning by other anti-common-cold drugs, assault | ||||
| T48.5X3A | Poisoning by other anti-common-cold drugs, assault, initial encounterCMS: Poisoning by oth anti-common-cold drugs, assault, init | Can lead a claim | A | None |
| T48.5X3D | Poisoning by other anti-common-cold drugs, assault, subsequent encounterCMS: Poisoning by oth anti-common-cold drugs, assault, subs | Can lead a claim | A | None |
| T48.5X3S | Poisoning by other anti-common-cold drugs, assault, sequela | Can lead a claim | A | None |
| T48.5X4 Poisoning by other anti-common-cold drugs, undetermined | ||||
| T48.5X4A | Poisoning by other anti-common-cold drugs, undetermined, initial encounterCMS: Poisoning by oth anti-common-cold drugs, undetermined, init | Can lead a claim | A | None |
| T48.5X4D | Poisoning by other anti-common-cold drugs, undetermined, subsequent encounterCMS: Poisoning by oth anti-common-cold drugs, undetermined, subs | Can lead a claim | A | None |
| T48.5X4S | Poisoning by other anti-common-cold drugs, undetermined, sequelaCMS: Poisoning by oth anti-cmn-cold drugs, undetermined, sequela | Can lead a claim | A | None |
| T48.5X5 Adverse effect of other anti-common-cold drugs | ||||
| T48.5X5A | Adverse effect of other anti-common-cold drugs, initial encounterCMS: Adverse effect of other anti-common-cold drugs, init encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.5X5D | Adverse effect of other anti-common-cold drugs, subsequent encounterCMS: Adverse effect of other anti-common-cold drugs, subs encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.5X5S | Adverse effect of other anti-common-cold drugs, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.5X6 Underdosing of other anti-common-cold drugs | ||||
| T48.5X6A | Underdosing of other anti-common-cold drugs, initial encounterCMS: Underdosing of other anti-common-cold drugs, init encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.5X6D | Underdosing of other anti-common-cold drugs, subsequent encounterCMS: Underdosing of other anti-common-cold drugs, subs encntr | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.5X6S | Underdosing of other anti-common-cold drugs, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.6 Poisoning by, adverse effect of and underdosing of antiasthmatics, not elsewhere classified | ||||
| T48.6X Poisoning by, adverse effect of and underdosing of antiasthmatics | ||||
| T48.6X1 Poisoning by antiasthmatics, accidental (unintentional) | ||||
| T48.6X1A | Poisoning by antiasthmatics, accidental (unintentional), initial encounterCMS: Poisoning by antiasthmatics, accidental, init | Can lead a claim | A | None |
| T48.6X1D | Poisoning by antiasthmatics, accidental (unintentional), subsequent encounterCMS: Poisoning by antiasthmatics, accidental, subs | Can lead a claim | A | None |
| T48.6X1S | Poisoning by antiasthmatics, accidental (unintentional), sequelaCMS: Poisoning by antiasthmatics, accidental, sequela | Can lead a claim | A | None |
| T48.6X2 Poisoning by antiasthmatics, intentional self-harm | ||||
| T48.6X2A | Poisoning by antiasthmatics, intentional self-harm, initial encounterCMS: Poisoning by antiasthmatics, intentional self-harm, init | Can lead a claim | A | None |
| T48.6X2D | Poisoning by antiasthmatics, intentional self-harm, subsequent encounterCMS: Poisoning by antiasthmatics, intentional self-harm, subs | Can lead a claim | A | None |
| T48.6X2S | Poisoning by antiasthmatics, intentional self-harm, sequela | Can lead a claim | A | None |
| T48.6X3 Poisoning by antiasthmatics, assault | ||||
| T48.6X3A | Poisoning by antiasthmatics, assault, initial encounter | Can lead a claim | A | None |
| T48.6X3D | Poisoning by antiasthmatics, assault, subsequent encounter | Can lead a claim | A | None |
| T48.6X3S | Poisoning by antiasthmatics, assault, sequela | Can lead a claim | A | None |
| T48.6X4 Poisoning by antiasthmatics, undetermined | ||||
| T48.6X4A | Poisoning by antiasthmatics, undetermined, initial encounter | Can lead a claim | A | None |
| T48.6X4D | Poisoning by antiasthmatics, undetermined, subsequent encounterCMS: Poisoning by antiasthmatics, undetermined, subs encntr | Can lead a claim | A | None |
| T48.6X4S | Poisoning by antiasthmatics, undetermined, sequela | Can lead a claim | A | None |
| T48.6X5 Adverse effect of antiasthmatics | ||||
| T48.6X5A | Adverse effect of antiasthmatics, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.6X5D | Adverse effect of antiasthmatics, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.6X5S | Adverse effect of antiasthmatics, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.6X6 Underdosing of antiasthmatics | ||||
| T48.6X6A | Underdosing of antiasthmatics, initial encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.6X6D | Underdosing of antiasthmatics, subsequent encounter | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.6X6S | Underdosing of antiasthmatics, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.9 Poisoning by, adverse effect of and underdosing of other and unspecified agents primarily acting on the respiratory system | ||||
| T48.90 Poisoning by, adverse effect of and underdosing of unspecified agents primarily acting on the respiratory system | ||||
| T48.901 Poisoning by unspecified agents primarily acting on the respiratory system, accidental (unintentional) | ||||
| T48.901A | Poisoning by unspecified agents primarily acting on the respiratory system, accidental (unintentional), initial encounterCMS: Poisn by unsp agents prim acting on the resp sys, acc, init | Can lead a claim | A | None |
| T48.901D | Poisoning by unspecified agents primarily acting on the respiratory system, accidental (unintentional), subsequent encounterCMS: Poisn by unsp agents prim acting on the resp sys, acc, subs | Can lead a claim | A | None |
| T48.901S | Poisoning by unspecified agents primarily acting on the respiratory system, accidental (unintentional), sequelaCMS: Poisn by unsp agents prim acting on the resp sys, acc, sqla | Can lead a claim | A | None |
| T48.902 Poisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm | ||||
| T48.902A | Poisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm, initial encounterCMS: Poisn by unsp agents prim act on the resp sys, slf-hrm, init | Can lead a claim | A | None |
| T48.902D | Poisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm, subsequent encounterCMS: Poisn by unsp agents prim act on the resp sys, slf-hrm, subs | Can lead a claim | A | None |
| T48.902S | Poisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm, sequelaCMS: Poisn by unsp agents prim act on the resp sys, slf-hrm, sqla | Can lead a claim | A | None |
| T48.903 Poisoning by unspecified agents primarily acting on the respiratory system, assault | ||||
| T48.903A | Poisoning by unspecified agents primarily acting on the respiratory system, assault, initial encounterCMS: Poisn by unsp agents prim act on the resp sys, asslt, init | Can lead a claim | A | None |
| T48.903D | Poisoning by unspecified agents primarily acting on the respiratory system, assault, subsequent encounterCMS: Poisn by unsp agents prim act on the resp sys, asslt, subs | Can lead a claim | A | None |
| T48.903S | Poisoning by unspecified agents primarily acting on the respiratory system, assault, sequelaCMS: Poisn by unsp agents prim act on the resp sys, asslt, sqla | Can lead a claim | A | None |
| T48.904 Poisoning by unspecified agents primarily acting on the respiratory system, undetermined | ||||
| T48.904A | Poisoning by unspecified agents primarily acting on the respiratory system, undetermined, initial encounterCMS: Poisn by unsp agents prim act on the resp sys, undet, init | Can lead a claim | A | None |
| T48.904D | Poisoning by unspecified agents primarily acting on the respiratory system, undetermined, subsequent encounterCMS: Poisn by unsp agents prim act on the resp sys, undet, subs | Can lead a claim | A | None |
| T48.904S | Poisoning by unspecified agents primarily acting on the respiratory system, undetermined, sequelaCMS: Poisn by unsp agents prim act on the resp sys, undet, sqla | Can lead a claim | A | None |
| T48.905 Adverse effect of unspecified agents primarily acting on the respiratory system | ||||
| T48.905A | Adverse effect of unspecified agents primarily acting on the respiratory system, initial encounterCMS: Advrs effect of unsp agents prim act on the resp sys, init | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.905D | Adverse effect of unspecified agents primarily acting on the respiratory system, subsequent encounterCMS: Advrs effect of unsp agents prim act on the resp sys, subs | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.905S | Adverse effect of unspecified agents primarily acting on the respiratory system, sequelaCMS: Advrs effect of unsp agents prim act on the resp sys, sqla | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.906 Underdosing of unspecified agents primarily acting on the respiratory system | ||||
| T48.906A | Underdosing of unspecified agents primarily acting on the respiratory system, initial encounterCMS: Undrdose of unsp agents prim acting on the resp sys, init | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.906D | Underdosing of unspecified agents primarily acting on the respiratory system, subsequent encounterCMS: Undrdose of unsp agents prim acting on the resp sys, subs | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.906S | Underdosing of unspecified agents primarily acting on the respiratory system, sequelaCMS: Undrdose of unsp agents prim acting on the resp sys, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.99 Poisoning by, adverse effect of and underdosing of other agents primarily acting on the respiratory system | ||||
| T48.991 Poisoning by other agents primarily acting on the respiratory system, accidental (unintentional) | ||||
| T48.991A | Poisoning by other agents primarily acting on the respiratory system, accidental (unintentional), initial encounterCMS: Poisn by oth agents prim acting on the resp sys, acc, init | Can lead a claim | A | None |
| T48.991D | Poisoning by other agents primarily acting on the respiratory system, accidental (unintentional), subsequent encounterCMS: Poisn by oth agents prim acting on the resp sys, acc, subs | Can lead a claim | A | None |
| T48.991S | Poisoning by other agents primarily acting on the respiratory system, accidental (unintentional), sequelaCMS: Poisn by oth agents prim acting on the resp sys, acc, sqla | Can lead a claim | A | None |
| T48.992 Poisoning by other agents primarily acting on the respiratory system, intentional self-harm | ||||
| T48.992A | Poisoning by other agents primarily acting on the respiratory system, intentional self-harm, initial encounterCMS: Poisn by oth agents prim act on the resp sys, slf-hrm, init | Can lead a claim | A | None |
| T48.992D | Poisoning by other agents primarily acting on the respiratory system, intentional self-harm, subsequent encounterCMS: Poisn by oth agents prim act on the resp sys, slf-hrm, subs | Can lead a claim | A | None |
| T48.992S | Poisoning by other agents primarily acting on the respiratory system, intentional self-harm, sequelaCMS: Poisn by oth agents prim act on the resp sys, slf-hrm, sqla | Can lead a claim | A | None |
| T48.993 Poisoning by other agents primarily acting on the respiratory system, assault | ||||
| T48.993A | Poisoning by other agents primarily acting on the respiratory system, assault, initial encounterCMS: Poisn by oth agents prim acting on the resp sys, asslt, init | Can lead a claim | A | None |
| T48.993D | Poisoning by other agents primarily acting on the respiratory system, assault, subsequent encounterCMS: Poisn by oth agents prim acting on the resp sys, asslt, subs | Can lead a claim | A | None |
| T48.993S | Poisoning by other agents primarily acting on the respiratory system, assault, sequelaCMS: Poisn by oth agents prim acting on the resp sys, asslt, sqla | Can lead a claim | A | None |
| T48.994 Poisoning by other agents primarily acting on the respiratory system, undetermined | ||||
| T48.994A | Poisoning by other agents primarily acting on the respiratory system, undetermined, initial encounterCMS: Poisn by oth agents prim acting on the resp sys, undet, init | Can lead a claim | A | None |
| T48.994D | Poisoning by other agents primarily acting on the respiratory system, undetermined, subsequent encounterCMS: Poisn by oth agents prim acting on the resp sys, undet, subs | Can lead a claim | A | None |
| T48.994S | Poisoning by other agents primarily acting on the respiratory system, undetermined, sequelaCMS: Poisn by oth agents prim acting on the resp sys, undet, sqla | Can lead a claim | A | None |
| T48.995 Adverse effect of other agents primarily acting on the respiratory system | ||||
| T48.995A | Adverse effect of other agents primarily acting on the respiratory system, initial encounterCMS: Adverse effect of agents prim acting on the resp sys, init | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.995D | Adverse effect of other agents primarily acting on the respiratory system, subsequent encounterCMS: Adverse effect of agents prim acting on the resp sys, subs | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.995S | Adverse effect of other agents primarily acting on the respiratory system, sequelaCMS: Advrs effect of agents prim acting on the resp sys, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.996 Underdosing of other agents primarily acting on the respiratory system | ||||
| T48.996A | Underdosing of other agents primarily acting on the respiratory system, initial encounterCMS: Underdosing of agents primarily acting on the resp sys, init | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.996D | Underdosing of other agents primarily acting on the respiratory system, subsequent encounterCMS: Underdosing of agents primarily acting on the resp sys, subs | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| T48.996S | Underdosing of other agents primarily acting on the respiratory system, sequelaCMS: Undrdose of agents primarily acting on the resp sys, sequela | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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