2024 ICD-10-CM Diagnosis Code T36.5X1
Poisoning by aminoglycosides, accidental (unintentional)
- ICD-10-CM Code:
- T36.5X1
- ICD-10 Code for:
- Poisoning by aminoglycosides, accidental (unintentional)
- Is Billable?
- Not Valid for Submission
- Code Navigator:
T36.5X1 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 aminoglycosides, 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 aminoglycosides, accidental (unintentional)
Non-specific codes like T36.5X1 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 aminoglycosides, accidental (unintentional):
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Accidental gentamicin overdose
- Accidental gentamicin poisoning
- Accidental kanamycin overdose
- Accidental kanamycin poisoning
- Accidental netilmicin overdose
- Accidental netilmicin poisoning
- Accidental spectinomycin overdose
- Accidental spectinomycin poisoning
- Accidental streptomycin overdose
- Accidental streptomycin poisoning
- Accidental tobramycin overdose
- Accidental tobramycin poisoning
- Aminoglycoside antibacterial overdose
- Gentamicin overdose
- Gentamicin poisoning
- Kanamycin overdose
- Netilmicin overdose
- Netilmicin poisoning
- Poisoning by kanamycin
- Poisoning by streptomycin
- Poisoning caused by antibacterial aminoglycoside
- Spectinomycin overdose
- Spectinomycin poisoning
- Streptomycin overdose
- Tobramycin overdose
- Tobramycin poisoning
Clinical Information
Amikacin
a broad-spectrum antibiotic derived from kanamycin. it is reno- and oto-toxic like the other aminoglycoside antibiotics.Kanamycin Kinase
a class of enzymes that inactivate aminocyclitol-aminoglycoside antibiotics (aminoglycosides) by regiospecific phosphorylation of the 3' and/or 5' hydroxyl.Dibekacin
analog of kanamycin with antitubercular as well as broad-spectrum antimicrobial properties.Framycetin
a component of neomycin that is produced by streptomyces fradiae. on hydrolysis it yields neamine and neobiosamine b. (from merck index, 11th ed)Kanamycin
antibiotic complex produced by streptomyces kanamyceticus from japanese soil. comprises 3 components: kanamycin a, the major component, and kanamycins b and c, the minor components.Kanamycin Resistance
nonsusceptibility of bacteria to the antibiotic kanamycin, which can bind to their 70s ribosomes and cause misreading of messenger rna.Netilmicin
semisynthetic 1-n-ethyl derivative of sisomycin, an aminoglycoside antibiotic with action similar to gentamicin, but less ear and kidney toxicity.Novobiocin
an antibiotic compound derived from streptomyces niveus. it has a chemical structure similar to coumarin. novobiocin binds to dna gyrase, and blocks adenosine triphosphatase (atpase) activity. (from reynolds, martindale the extra pharmacopoeia, 30th ed, p189)Paromomycin
an aminoglycoside antibacterial and antiprotozoal agent produced by species of streptomyces.Ribostamycin
a broad-spectrum antimicrobial isolated from streptomyces ribosifidicus.Sisomicin
antibiotic produced by micromonospora inyoensis. it is closely related to gentamicin c1a, one of the components of the gentamicin complex (gentamicins).Spectinomycin
an antibiotic produced by streptomyces spectabilis. it is active against gram-negative bacteria and used for the treatment of gonorrhea.Tobramycin
an aminoglycoside, broad-spectrum antibiotic produced by streptomyces tenebrarius. it is effective against gram-negative bacteria, especially the pseudomonas species. it is a 10% component of the antibiotic complex, nebramycin, produced by the same species.Tobramycin, Dexamethasone Drug Combination
a topical preparation of tobramycin and dexamethasone that is used for treating or preventing superficial bacterial infections of the eye.
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 systemic antibiotics (T36). 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 TermsThese 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 aminoglycosides 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.
Patient Education
Antibiotics
What are antibiotics?
Antibiotics are medicines that fight bacterial infections in people and animals. They work by killing the bacteria or by making it hard for the bacteria to grow and multiply.
Antibiotics can be taken in different ways:
- Orally (by mouth). This could be pills, capsules, or liquids.
- Topically. This might be a cream, spray, or ointment that you put on your skin. It could also be eye ointment, eye drops, or ear drops.
- Through an injection or intravenously (IV). This is usually for more serious infections.
What do antibiotics treat?
Antibiotics only treat certain bacterial infections, such as strep throat, urinary tract infections, and E. coli.
You may not need to take antibiotics for some bacterial infections. For example, you might not need them for many sinus infections or some ear infections. Taking antibiotics when they're not needed won't help you, and they can have side effects. Your health care provider can decide the best treatment for you when you're sick. Don't ask your provider to prescribe an antibiotic for you.
Do antibiotics treat viral infections?
Antibiotics do not work on viral infections. For example, you shouldn't take antibiotics for:
- Colds and runny noses, even if the mucus is thick, yellow, or green
- Most sore throats (except strep throat)
- Flu
- Most cases of bronchitis
What are the side effects of antibiotics?
The side effects of antibiotics range from minor to very severe. Some of the common side effects include:
- Rash
- Nausea
- Diarrhea
- Yeast infections
More serious side effects can include:
- C. diff infections, which cause diarrhea that can lead to severe colon damage and sometimes even death
- Severe and life-threatening allergic reactions
- Antibiotic resistance infections
Call your health care provider if you develop any side effects while taking your antibiotic.
Why is it important to take antibiotics only when they're needed?
You should only take antibiotics when they are needed because they can cause side effects and can contribute to antibiotic resistance. Antibiotic resistance happens when the bacteria change and become able to resist the effects of an antibiotic. This means that the bacteria continue to grow.
How do I use antibiotics correctly?
When you take antibiotics, it is important that you take them responsibly:
- Always follow the directions carefully. Finish your medicine even if you feel better. If you stop taking them too soon, some bacteria may survive and re-infect you.
- Don't save your antibiotics for later.
- Don't share your antibiotic with others.
- Don't take antibiotics prescribed for someone else. This may delay the best treatment for you, make you even sicker, or cause side effects.
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.