2024 ICD-10-CM Diagnosis Code T48.5X1S

Poisoning by other anti-common-cold drugs, accidental (unintentional), sequela

ICD-10-CM Code:
T48.5X1S
ICD-10 Code for:
Poisoning by oth anti-cmn-cold drugs, accidental, sequela
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
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)

T48.5X1S is a billable diagnosis code used to specify a medical diagnosis of poisoning by other anti-common-cold drugs, accidental (unintentional), sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

T48.5X1S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like poisoning by other anti-common-cold drugs accidental (unintentional). According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Approximate Synonyms

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

  • Accidental ingestion of menthol
  • Accidental ingestion of toxic plant oil

Clinical Classification

Clinical Information

  • Menthol

    a monoterpene cyclohexanol produced from mint oils.
  • Naphazoline

    an adrenergic vasoconstrictor agent used as a decongestant.
  • Oxymetazoline

    a direct acting sympathomimetic used as a vasoconstrictor to relieve nasal congestion. (from martindale, the extra pharmacopoeia, 30th ed, p1251)

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

Present on Admission (POA)

T48.5X1S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T48.5X1S to ICD-9-CM

  • ICD-9-CM Code: 909.0 - Late eff drug poisoning
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
  • ICD-9-CM Code: E929.2 - Late eff acc poisoning
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.

Table of Drugs and Chemicals

The parent code T48.5X1 of the current diagnosis 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
Amidefrine mesilateT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
Anti-common-cold drug NECT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
APCT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
Benzoin (tincture)T48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
CinnamedrineT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
ContacT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
Decongestant, nasal (mucosa)T48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
Decongestant, nasal (mucosa)
  »combination
T48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
FenoxazolineT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
IndanazolineT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
MentholT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
MetizolineT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
NaphazolineT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
OxymetazolineT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
PropylhexedrineT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
TramazolineT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
TuaminoheptaneT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
TymazolineT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6
XylometazolineT48.5X1T48.5X2T48.5X3T48.5X4T48.5X5T48.5X6

Patient Education


Cold and Cough Medicines

What are cold and cough medicines?

Cold and cough medicines can help relieve symptoms of a common cold. The symptoms of a cold can include a sore throat, stuffy or runny nose, sneezing, and coughing.

You don't usually need to treat a cold or the cough that it causes. You can't cure a cold, and antibiotics won't help you get better. But sometimes the symptoms can keep you awake or cause a lot of discomfort. In that case, cold and cough medicines can sometimes be helpful.

What are the different types of cold and cough medicines?

There are lots of different cold and cough medicines, and they do different things:

  • Nasal decongestants - unclog a stuffy nose
  • Cough suppressants - quiet a cough
  • Expectorants - loosen mucus in your lungs so you can cough it up
  • Antihistamines - stop runny noses and sneezing
  • Pain relievers - ease fever, headaches, and minor aches and pains

What do I need to know about taking cold and cough medicines?

Before taking these medicines, read the labels and follow the instructions carefully. Many cold and cough medicines contain the same active ingredients. For example, some of them include pain relievers. If you are taking these medicines and are also taking a separate pain reliever, you could be getting a dangerous amount of the pain reliever.

Do not give cold or cough medicines to children under two, and don't give aspirin to children.

What else can I do to feel better for a cold or cough?

If you decide that you don't want to take cold and cough medicines, there are other ways to feel better:

  • Drink lots of fluids
  • Get plenty of rest
  • Use a cool mist humidifier
  • Use saline nose drops or sprays
  • Use nasal suctioning with a bulb syringe, which can be very helpful in children under a year old

Centers for Disease Control and Prevention


[Learn More in MedlinePlus]

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


[Learn More in MedlinePlus]

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.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.