2024 ICD-10-CM Diagnosis Code T36.8X1A

Poisoning by other systemic antibiotics, accidental (unintentional), initial encounter

ICD-10-CM Code:
T36.8X1A
ICD-10 Code for:
Poisoning by oth systemic antibiotics, accidental, init
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 systemic antibiotics
        (T36)

T36.8X1A is a billable diagnosis code used to specify a medical diagnosis of poisoning by other systemic antibiotics, accidental (unintentional), initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

T36.8X1A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like poisoning by other systemic antibiotics accidental (unintentional). According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Approximate Synonyms

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

  • Accidental fluoroquinolone poisoning
  • Accidental fusidic acid overdose
  • Accidental fusidic acid poisoning
  • Accidental nitrofuran derivative overdose
  • Accidental nitrofuran derivative poisoning
  • Accidental quinolone antibacterial overdose
  • Accidental sulfamethoxazole and/or trimethoprim overdose
  • Accidental sulfamethoxazole and/or trimethoprim poisoning
  • Accidental vancomycin overdose
  • Accidental vancomycin poisoning
  • Fluoroquinolone poisoning
  • Fusidic acid overdose
  • Fusidic acid poisoning
  • Nitrofuran derivative overdose
  • Poisoning by nitrofuran derivatives
  • Poisoning by nitrofuran derivatives
  • Quinolone antibacterial overdose
  • Sulfamethoxazole and/or trimethoprim overdose
  • Sulfamethoxazole and/or trimethoprim poisoning
  • Vancomycin overdose
  • Vancomycin poisoning

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: intent of injury, accidental/unintentionalEXT020N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
External cause codes: poisoning by drugEXT014N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Poisoning by drugs, initial encounterINJ022Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Capreomycin

    cyclic peptide antibiotic similar to viomycin. it is produced by streptomyces capreolus.
  • Ciprofloxacin

    a broad-spectrum antimicrobial carboxyfluoroquinoline.
  • Clindamycin

    an antibacterial agent that is a semisynthetic analog of lincomycin.
  • Colistin

    cyclic polypeptide antibiotic from bacillus colistinus. it is composed of polymyxins e1 and e2 (or colistins a, b, and c) which act as detergents on cell membranes. colistin is less toxic than polymyxin b, but otherwise similar; the methanesulfonate is used orally.
  • Enoxacin

    a broad-spectrum 6-fluoronaphthyridinone antibacterial agent that is structurally related to nalidixic acid.
  • Enviomycin

    cyclic basic peptide related to viomycin. it is isolated from an induced mutant of streptomyces griseoverticillatus var. tuberacticus and acts as an antitubercular agent with less ototoxicity than tuberactinomycin.
  • Fleroxacin

    a broad-spectrum antimicrobial fluoroquinolone. the drug strongly inhibits the dna-supercoiling activity of dna gyrase.
  • Fosfomycin

    an antibiotic produced by streptomyces fradiae.
  • Fusidic Acid

    an antibiotic isolated from the fermentation broth of fusidium coccineum. (from merck index, 11th ed). it acts by inhibiting translocation during protein synthesis.
  • Lincomycin

    an antibiotic produced by streptomyces lincolnensis var. lincolnensis. it has been used in the treatment of staphylococcal, streptococcal, and bacteroides fragilis infections.
  • Norfloxacin

    a synthetic fluoroquinolone (fluoroquinolones) with broad-spectrum antibacterial activity against most gram-negative and gram-positive bacteria. norfloxacin inhibits bacterial dna gyrase.
  • Levofloxacin

    the l-isomer of ofloxacin.
  • Ofloxacin

    a synthetic fluoroquinolone antibacterial agent that inhibits the supercoiling activity of bacterial dna gyrase, halting dna replication.
  • Ristocetin

    an antibiotic mixture of two components, a and b, obtained from nocardia lurida (or the same substance produced by any other means). it is no longer used clinically because of its toxicity. it causes platelet agglutination and blood coagulation and is used to assay those functions in vitro.
  • von Willebrand Factor

    a high-molecular-weight plasma protein, produced by endothelial cells and megakaryocytes, that is part of the factor viii/von willebrand factor complex. the von willebrand factor has receptors for collagen, platelets, and ristocetin activity as well as the immunologically distinct antigenic determinants. it functions in adhesion of platelets to collagen and hemostatic plug formation. the prolonged bleeding time in von willebrand diseases is due to the deficiency of this factor.
  • Teicoplanin

    lipoglycopeptide antibiotic from actinoplanes teichomyceticus active against gram-positive bacteria. it consists of five major components each with a different fatty acid moiety.
  • Vancomycin

    antibacterial obtained from streptomyces orientalis. it is a glycopeptide related to ristocetin that inhibits bacterial cell wall assembly and is toxic to kidneys and the inner ear.
  • Vancomycin Resistance

    nonsusceptibility of bacteria to the action of vancomycin, an inhibitor of cell wall synthesis.
  • Vancomycin-Resistant Enterococci

    strains of the genus enterococcus that are resistant to the antibiotic vancomycin. the enterococci become resistant by acquiring plasmids carrying genes for vancomycin resistance.
  • Vancomycin-Resistant Staphylococcus aureus

    isolates of the staphylococcus aureus that are resistant to the antibiotic vancomycin. the s. aureus becomes resistant by acquiring plasmids carrying genes for vancomycin resistance. vancomycin‐intermediate s. aureus has low-level vancomycin resistance requiring an intermediate concentration of vancomycin between sensitive and resistant isolates. these s. aureus with reduced susceptibility to vancomycin and related glycopeptide antibiotics are often seen in healthcare associated infections.
  • Viomycin

    a strongly basic peptide, antibiotic complex from several strains of streptomyces. it is allergenic and toxic to kidneys and the labyrinth. viomycin is used in tuberculosis as several different salts and in combination with other agents.
  • Streptogramin A

    a specific streptogramin group a antibiotic produced by streptomyces graminofaciens and other bacteria.
  • Virginiamycin

    a cyclic polypeptide antibiotic complex from streptomyces virginiae, s. loidensis, s. mitakaensis, s. pristina-spiralis, s. ostreogriseus, and others. it consists of 2 major components, virginiamycin factor m1 and virginiamycin factor s1. it is used to treat infections with gram-positive organisms and as a growth promoter in cattle, swine, and poultry.

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

Convert T36.8X1A to ICD-9-CM

  • ICD-9-CM Code: 960.8 - Poisoning-antibiotic NEC
    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: E856 - Acc poison-antibiotics
    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 T36.8X1 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
AerosporinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Aerosporin
  »ENT agent
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Aerosporin
  »ophthalmic preparation
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Aerosporin
  »topical NEC
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
AlbamycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
AmfomycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
AmphomycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
BetamicinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
CapreomycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
CarbomycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
CathomycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
CiprofloxacinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
ClindamycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
ColimycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
ColistimethateT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
ColistinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Colistin
  »sulfate (eye preparation)
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Co-trimoxazoleT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
EnoxacinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
EnviomycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
FleroxacinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
FosfomycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
FugillinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
FumadilT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
FumagillinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
FusafungineT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Fusidate (ethanolamine) (sodium)T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Fusidic acidT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
LincomycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
MagnamycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
MycitracinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Mycitracin
  »ophthalmic preparation
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
NeosporinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Neosporin
  »ENT agent
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Neosporin
  »opthalmic preparation
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Neosporin
  »topical NEC
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
NorfloxacinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
OfloxacinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
PolymyxinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Polymyxin
  »B
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Polymyxin
  »B
    »ENT agent
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Polymyxin
  »B
    »ophthalmic preparation
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Polymyxin
  »B
    »topical NEC
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
Polymyxin
  »E sulfate (eye preparation)
T36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
RistocetinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
SulfomyxinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
TeicoplaninT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
VancomycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
ViomycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6
VirginiamycinT36.8X1T36.8X2T36.8X3T36.8X4T36.8X5T36.8X6

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.

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.