2024 ICD-10-CM Diagnosis Code T46.2X1

Poisoning by other antidysrhythmic drugs, accidental (unintentional)

ICD-10-CM Code:
T46.2X1
ICD-10 Code for:
Poisoning by oth antidysrhythmic drugs, accidental
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
      (T36-T50)
      • Poisoning by, adverse effect of and underdosing of agents primarily affecting the cardiovascular system
        (T46)

T46.2X1 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of poisoning by other antidysrhythmic drugs, accidental (unintentional). The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Poisoning by oth antidysrhythmic drugs, accidental

Non-specific codes like T46.2X1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for poisoning by oth antidysrhythmic drugs, accidental:

  • Use T46.2X1A for initial encounter - BILLABLE CODE

  • Use T46.2X1D for subsequent encounter - BILLABLE CODE

  • Use T46.2X1S for sequela - BILLABLE CODE

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Accidental amiodarone overdose
  • Accidental amiodarone poisoning
  • Accidental bretylium overdose
  • Accidental disopyramide overdose
  • Accidental disopyramide poisoning
  • Accidental procainamide overdose
  • Accidental procainamide poisoning
  • Accidental quinidine overdose
  • Accidental quinidine poisoning
  • Amiodarone overdose
  • Amiodarone poisoning
  • Bretylium overdose
  • Class II antiarrhythmic overdose
  • Class II antiarrhythmic overdose
  • Class III antiarrhythmic overdose
  • Class III antiarrhythmic overdose
  • Class III antiarrhythmic overdose
  • Class III antiarrhythmic overdose
  • Disopyramide overdose
  • Disopyramide poisoning
  • Overdose of cardiac antiarrhythmic agent
  • Poisoning by procainamide
  • Poisoning by quinidine
  • Procainamide overdose
  • Quinidine overdose

Clinical Information

  • Ajmaline

    an alkaloid found in the root of rauwolfia serpentina, among other plant sources. it is a class 1-a antiarrhythmic agent that apparently acts by changing the shape and threshold of cardiac action potentials.
  • Amiodarone

    an antianginal and class iii antiarrhythmic drug. it increases the duration of ventricular and atrial muscle action by inhibiting potassium channels and voltage-gated sodium channels. there is a resulting decrease in heart rate and in vascular resistance.
  • Aprindine

    a class ib anti-arrhythmia agent used to manage ventricular and supraventricular arrhythmias.
  • Bunaftine

    n-butyl-n-(2-(diethylamino)ethyl)-1-naphthamide. a proposed antiarrhythmic that prolongs myocardial refractory period and stabilizes cell membranes.
  • Disopyramide

    a class i anti-arrhythmic agent (one that interferes directly with the depolarization of the cardiac membrane and thus serves as a membrane-stabilizing agent) with a depressant action on the heart similar to that of guanidine. it also possesses some anticholinergic and local anesthetic properties.
  • Encainide

    one of the anti-arrhythmia agents, it blocks voltage-gated sodium channels and slows conduction within the his-purkinje system and myocardium.
  • Flecainide

    a potent anti-arrhythmia agent, effective in a wide range of ventricular and atrial arrhythmias and tachycardias.
  • Lorajmine

    a monochloroacetyl derivative of ajmaline. it is a class ia antiarrhythmic agent that is rapidly hydrolyzed to ajmaline by plasma and tissue esterases.
  • Mexiletine

    antiarrhythmic agent pharmacologically similar to lidocaine. it may have some anticonvulsant properties.
  • Procainamide

    a class ia antiarrhythmic drug that is structurally-related to procaine.
  • Propafenone

    an antiarrhythmia agent that is particularly effective in ventricular arrhythmias. it also has weak beta-blocking activity.
  • Quinidine

    an optical isomer of quinine, extracted from the bark of the chinchona tree and similar plant species. this alkaloid dampens the excitability of cardiac and skeletal muscles by blocking sodium and potassium currents across cellular membranes. it prolongs cellular action potentials, and decreases automaticity. quinidine also blocks muscarinic and alpha-adrenergic neurotransmission.
  • Tocainide

    an antiarrhythmic agent which exerts a potential- and frequency-dependent block of sodium channels.

Coding Guidelines

When coding a poisoning or reaction to the improper use of a medication (e.g., overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories T36-T50. The poisoning codes have an associated intent as their 5th or 6th character (accidental, intentional self-harm, assault and undetermined. If the intent of the poisoning is unknown or unspecified, code the intent as accidental intent. The undetermined intent is only for use if the documentation in the record specifies that the intent cannot be determined. Use additional code(s) for all manifestations of poisonings.

The appropriate 7th character is to be added to each code from block Poisoning by, adverse effect of and underdosing of agents primarily affecting the cardiovascular system (T46). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Poisoning by other antidysrhythmic drugs NOS

Table of Drugs and Chemicals

The code is referenced in the Table of Drugs and Chemicals, this table contains a classification of drugs, industrial solvents, corrosive gases, noxious plants, pesticides, and other toxic agents.

According to ICD-10-CM coding guidelines it is advised to do not code directly from the Table of Drugs and Chemicals, instead always refer back to the Tabular List when doing the initial coding. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. It is important to use as many codes as necessary to specify all reported drugs, medicinal or chemical substances. If the same diagnosis code describes the causative agent for more than one adverse reaction, poisoning, toxic effect or underdosing, utilize the code only once.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
(self-harm)
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
Adenosine (phosphate)T46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
AjmalineT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
AmiodaroneT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
Antidysrhythmic NECT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
AprindineT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
Bretylium tosilateT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
BunaftineT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
CardiacT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
Cardiac
  »depressants
T46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
Cardiac
  »rhythm regulator
T46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
Cardiac
  »rhythm regulator
    »specified NEC
T46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
Chinidin (e)T46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
CibenzolineT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
DisopyramideT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
EncainideT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
FlecainideT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
HydroquinidineT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
LorajmineT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
LorcainideT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
MexiletineT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
Pilsicainide (hydrochloride)T46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
Prajmalium bitartrateT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
ProcainamideT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
Pronestyl (hydrochloride)T46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
PropafenoneT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
QuinagluteT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
QuinidineT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6
TocainideT46.2X1T46.2X2T46.2X3T46.2X4T46.2X5T46.2X6

Patient Education


Medication Errors

Medicines treat infectious diseases, prevent problems from chronic diseases, and ease pain. But medicines can also cause harmful reactions if not used correctly. Errors can happen in the hospital, at the health care provider's office, at the pharmacy, or at home. You can help prevent errors by:

  • Knowing your medicines. When you get a prescription, ask the name of the medicine and check to make sure that the pharmacy gave you the right medicine. Make sure that you understand how often you should take the medicine and how long you should take it.
  • Keeping a list of medicines.
    • Write down all of the medicines that you are taking, including the names of your medicines, how much you take, and when you take them. Make sure to include any over-the-counter medicines, vitamins, supplements, and herbs that you take.
    • List the medicines that you are allergic to or that have caused you problems in the past.
    • Take this list with you every time you see a health care provider.
  • Reading medicine labels and following the directions. Don't just rely on your memory - read the medication label every time. Be especially careful when giving medicines to children.
  • Asking questions. If you don't know the answers to these questions, ask your health care provider or pharmacist:
    • Why am I taking this medicine?
    • What are the common side effects?
    • What should I do if I have side effects?
    • When should I stop this medicine?
    • Can I take this medicine with the other medicines and supplements on my list?
    • Do I need to avoid certain foods or alcohol while taking this medicine?

Food and Drug Administration


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Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.