2024 ICD-10-CM Diagnosis Code T48.0X4

Poisoning by oxytocic drugs, undetermined

ICD-10-CM Code:
T48.0X4
ICD-10 Code for:
Poisoning by oxytocic drugs, undetermined
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 acting on smooth and skeletal muscles and the respiratory system
        (T48)

T48.0X4 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 oxytocic drugs, undetermined. 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 oxytocic drugs, undetermined

Non-specific codes like T48.0X4 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 oxytocic drugs, undetermined:

  • Use T48.0X4A for initial encounter - BILLABLE CODE

  • Use T48.0X4D for subsequent encounter - BILLABLE CODE

  • Use T48.0X4S for sequela - BILLABLE CODE

Clinical Information

  • Carboprost

    a nonsteroidal abortifacient agent that is effective in both the first and second trimesters of pregnancy.
  • Dinoprost

    a naturally occurring prostaglandin that has oxytocic, luteolytic, and abortifacient activities. due to its vasocontractile properties, the compound has a variety of other biological actions.
  • Dinoprostone

    the most common and most biologically active of the mammalian prostaglandins. it exhibits most biological activities characteristic of prostaglandins and has been used extensively as an oxytocic agent. the compound also displays a protective effect on the intestinal mucosa.
  • Ergonovine

    an ergot alkaloid (ergot alkaloids) with uterine and vascular smooth muscle contractile properties.
  • Methylergonovine

    a homolog of ergonovine containing one more ch2 group. (merck index, 11th ed)
  • Cytochrome P-450 CYP2D6

    a cytochrome p450 enzyme that catalyzes the hydroxylation of many drugs and environmental chemicals, such as debrisoquine; adrenergic receptor antagonists; and tricyclic antidepressants. this enzyme is deficient in up to 10 percent of the caucasian population.
  • Sparteine

    a quinolizidine alkaloid isolated from several fabaceae including lupinus; spartium; and cytisus. it has been used as an oxytocic and an anti-arrhythmia agent. it has also been of interest as an indicator of cyp2d6 genotype.

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 acting on smooth and skeletal muscles and the respiratory system (T48). Use the following options for the aplicable episode of care:

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

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
CarboprostT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
DinoprostT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
DinoprostoneT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
ErgobasineT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
ErgometrineT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
ErgonovineT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
ErgotocineT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
ErgotrateT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
GemeprostT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
MethergineT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
MethylergometrineT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
MethylergonovineT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
Oxytocic drug NECT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
Oxytocin (synthetic)T48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
PitocinT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
SparteineT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
SulprostoneT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
SyntocinonT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
TocosamineT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6
VetrabutineT48.0X1T48.0X2T48.0X3T48.0X4T48.0X5T48.0X6

Patient Education


Poisoning

A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include:

  • Prescription or over-the-counter medicines taken in doses that are too high
  • Overdoses of illegal drugs
  • Carbon monoxide from gas appliances
  • Household products, such as laundry powder or furniture polish
  • Pesticides
  • Indoor or outdoor plants
  • Metals such as lead and mercury

The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.


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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.