2027 ICD-10-CM Diagnosis Code T39.315AAdverse effect of propionic acid derivatives, initial encounter

ICD-10-CM Codes›S00–T88›T36-T50›T39

ICD-10-CM T39.315A
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

T39.315A is a billable ICD-10-CM diagnosis code for adverse effect of propionic acid derivatives, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 791, 793, 917 through 918. The code is not accepted as a principal diagnosis by the Medicare Code Editor. Coders also document this condition as adverse reaction to ibuprofen. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Adverse effects of drugs and medicaments, initial encounter.

Code Identity

ICD-10-CM Code
T39.315A
Billable Status
Yes — Valid for Submission
Code Describes
Adverse effect of propionic acid derivatives, initial encounter
Short Description
Adverse effect of propionic acid derivatives, init encntr
Parent Code
Adverse effect of propionic acid derivatives

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT36-T50Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
CategoryT39Poisoning by, adverse effect of and underdosing of nonopioid analgesics, antipyretics and antirheumatics
This CodeT39.315AAdverse effect of propionic acid derivatives, initial encounter

Code EditsBilling

Medicare Code Editor checks that affect claim validity for T39.315A.

There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Adverse reaction to ibuprofen
  • Adverse reaction to ketoprofen
  • Adverse reaction to naproxen
  • Fenoprofen adverse reaction
  • Flurbiprofen adverse reaction
  • Propionic acid derivative adverse reaction
  • Tiaprofenic acid adverse reaction

Coding GuidelinesGuidance

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 nonopioid analgesics, antipyretics and antirheumatics (T39). Use the following options for the applicable episode of care:

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

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to T39.315A: its own notes plus those printed at T39, block T36-T50, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
  • adverse effect of correct substance properly administered
  • poisoning by overdose of substance
  • poisoning by wrong substance given or taken in error
  • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
  • toxic reaction to local anesthesia in pregnancy (O29.3-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
  • abuse and dependence of psychoactive substances (F10-F19)
  • abuse of non-dependence-producing substances (F55.-)
  • immunodeficiency due to drugs (D84.821)
  • drug reaction and poisoning affecting newborn (P00-P96)
  • pathological drug intoxication (inebriation) (F10-F19)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Code First

The underlying condition named in the note is sequenced before this code.

From Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
  • for adverse effects, the nature of the adverse effect, such as:
  • adverse effect NOS (T88.7)
  • aspirin gastritis (K29.-)
  • blood disorders (D56-D76)
  • contact dermatitis (L23-L25)
  • dermatitis due to substances taken internally (L27.-)
  • nephropathy (N14.0-N14.2)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
  • code(s) to specify:
  • manifestations of poisoning
  • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
  • underdosing of medication regimen (Z91.12-, Z91.13-)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
  • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From T39 Poisoning by, adverse effect of and underdosing of nonopioid analgesics, antipyretics and antirheumatics applies to 162 codes
  • The appropriate 7th character is to be added to each code from category T39
  • Ainitial encounter this code
  • Dsubsequent encounter
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name T39.315A, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming T39.315A: its condition is not part of those codes, and both may be reported when the patient has both.

  • T48.5 Poisoning by, adverse effect of and underdosing of other anti-common-cold drugs
    poisoning by, adverse effect of and underdosing of non-steroidal antiinflammatory drugs (T39.3-) names T39.3-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ028
Adverse effects of drugs and medicaments, initial encounter
Default principal diagnosis: inpatient No · outpatient Yes

Table of Drugs and ChemicalsClinical

Substances in the Table of Drugs and Chemicals that reference this code family. Always confirm in the Tabular List before coding.

SubstanceAccidentalSelf-harmAssaultUndeter­minedAdverse
Effect
Under­dosing
Analgesic::anti-inflammatory NEC::propionic acid derivativeT39.311T39.312T39.313T39.314T39.315T39.316
Anti-inflammatory drug NEC::nonsteroidal NEC::propionic acid derivativeT39.311T39.312T39.313T39.314T39.315T39.316
CarprofenT39.311T39.312T39.313T39.314T39.315T39.316
EsflurbiprofenT39.311T39.312T39.313T39.314T39.315T39.316
FenoprofenT39.311T39.312T39.313T39.314T39.315T39.316
FlurbiprofenT39.311T39.312T39.313T39.314T39.315T39.316
IbufenacT39.311T39.312T39.313T39.314T39.315T39.316
IbuprofenT39.311T39.312T39.313T39.314T39.315T39.316
IbuproxamT39.311T39.312T39.313T39.314T39.315T39.316
KetoprofenT39.311T39.312T39.313T39.314T39.315T39.316
NaproxenT39.311T39.312T39.313T39.314T39.315T39.316
OxaprozinT39.311T39.312T39.313T39.314T39.315T39.316
SuprofenT39.311T39.312T39.313T39.314T39.315T39.316
Tiaprofenic acidT39.311T39.312T39.313T39.314T39.315T39.316

Patient EducationClinical

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.

The full article covers:

  • What is a drug interaction?
  • What are side effects?
  • What are drug allergies?
  • How can I stay safe when taking medicines?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert T39.315A to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
995.29 Adv eff med/biol NEC/NOS
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
E935.7 Adv eff non-narc analgsc
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About T39.315AOverview

What is the ICD-10 code for adverse effect of propionic acid derivatives, initial encounter?

The ICD-10-CM code for adverse effect of propionic acid derivatives, initial encounter is T39.315A (sometimes written as T39315A). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is T39.315A (Adverse effect of propionic acid derivatives) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report adverse effect of propionic acid derivatives, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in T39.315A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for adverse effect of propionic acid derivatives, such as an emergency visit or first evaluation.

What MS-DRG does T39.315A group to?

On inpatient claims, adverse effect of propionic acid derivatives, initial encounter maps to MS-DRG 793, 791, 918, 917, with relative weights from 0.8716 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.

Can T39.315A be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because adverse effect of propionic acid derivatives, initial encounter describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.