2024 ICD-10-CM Diagnosis Code T50.0X5

Adverse effect of mineralocorticoids and their antagonists

ICD-10-CM Code:
T50.0X5
ICD-10 Code for:
Adverse effect of mineralocorticoids and their antagonists
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 diuretics and other and unspecified drugs, medicaments and biological substances
        (T50)

T50.0X5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of adverse effect of mineralocorticoids and their antagonists. 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 Adverse effect of mineralocorticoids and their antagonists

Non-specific codes like T50.0X5 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 adverse effect of mineralocorticoids and their antagonists:

  • Use T50.0X5A for initial encounter - BILLABLE CODE

  • Use T50.0X5D for subsequent encounter - BILLABLE CODE

  • Use T50.0X5S 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:

  • Aldosterone antagonists adverse reaction
  • Fludrocortisone adverse reaction
  • Mineralocorticoid adverse reaction
  • Potassium canrenoate adverse reaction
  • Potassium sparing diuretic adverse reaction
  • Potassium sparing diuretic adverse reaction
  • Potassium sparing diuretic adverse reaction
  • Spironolactone adverse reaction

Clinical Information

  • Aldosterone

    a hormone secreted by the adrenal cortex that regulates electrolyte and water balance by increasing the renal retention of sodium and the excretion of potassium.
  • Cytochrome P-450 CYP11B2

    a mitochondrial cytochrome p450 enzyme that catalyzes the 18-hydroxylation of steroids in the presence of molecular oxygen and nadph-specific flavoprotein. this enzyme, encoded by cyp11b2 gene, is important in the conversion of corticosterone to 18-hydroxycorticosterone and the subsequent conversion to aldosterone.
  • Mineralocorticoid Receptor Antagonists

    drugs that bind to and block the activation of mineralocorticoid receptors by mineralocorticoids such as aldosterone.
  • Receptors, Mineralocorticoid

    cytoplasmic proteins that specifically bind mineralocorticoids and mediate their cellular effects. the receptor with its bound ligand acts in the nucleus to induce transcription of specific segments of dna.
  • Canrenoic Acid

    a synthetic pregnadiene derivative with anti-aldosterone activity.
  • Canrenone

    a synthetic pregnadiene compound with anti-aldosterone activity.
  • Fludrocortisone

    a synthetic mineralocorticoid with anti-inflammatory activity.
  • Spironolactone

    a potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. it is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (from martindale, the extra pharmacopoeia, 30th ed, p827)

Coding Guidelines

When coding an adverse effect of a drug that has been correctly prescribed and properly administered, assign the appropriate code for the nature of the adverse effect followed by the appropriate code for the adverse effect of the drug.

The appropriate 7th character is to be added to each code from block Poisoning by, adverse effect of and underdosing of diuretics and other and unspecified drugs, medicaments and biological substances (T50). 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
AldactoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
AldosteroneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
AntagonistT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »Aldosterone
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »alpha-adrenoreceptor
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »anticoagulant
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »beta-adrenoreceptor
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »extrapyramidal NEC
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »folic acid
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »H2 receptor
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »heavy metal
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »narcotic analgesic
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »opiate
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »pyrimidine
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »serotonin
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Canrenoic acidT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
CanrenoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
DeoxycortoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
DesoxycorticosteroidT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
DesoxycortoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
FludrocortisoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Fludrocortisone
  »ENT agent
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Fludrocortisone
  »ophthalmic preparation
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Fludrocortisone
  »topical NEC
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
FluorhydrocortisoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
MineralocorticosteroidT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Salt-retaining mineralocorticoidT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
SpironolactoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6

Patient Education


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.

What is a drug interaction?

A drug interaction is a change in the way a drug acts in the body when taken with certain other drugs, foods, or supplements or when taken while you have certain medical conditions. Examples include:

  • Two drugs, such as aspirin and blood thinners
  • Drugs and food, such as statins and grapefruit
  • Drugs and supplements, such as gingko and blood thinners
  • Drugs and medical conditions, such as aspirin and peptic ulcers

Interactions could cause a drug to be more or less effective, cause side effects, or change the way one or both drugs work.

What are side effects?

Side effects are unwanted, usually unpleasant, effects caused by medicines. Most are mild, such as a stomachache, dry mouth, or drowsiness, and go away after you stop taking the medicine. Others can be more serious. Sometimes a drug can interact with a disease that you have and cause a side effect. For example, if you have a heart condition, certain decongestants can cause you to have a rapid heartbeat.

What are drug allergies?

Drug allergies are another type of reaction. They can range from mild to life-threatening. Skin reactions, such as hives and rashes, are the most common type. Anaphylaxis, a serious allergic reaction, is less common.

How can I stay safe when taking medicines?

When you start a new prescription or over-the-counter medicine, make sure you understand how to take it correctly. Know which other medicines, foods, and supplements you need to avoid. Always talk to your health care provider or pharmacist if you have questions about your medicines.


[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.