2026 ICD-10-CM Diagnosis Code T39.8X6AUnderdosing of other nonopioid analgesics and antipyretics, not elsewhere classified, initial encounter

ICD-10-CM CodesS00–T88T36-T50T39

ICD-10-CM T39.8X6A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T39.8X6A is a billable ICD-10-CM diagnosis code for underdosing of other nonopioid analgesics and antipyretics, not elsewhere classified, 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 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Underdosing of drugs and medicaments, initial encounter.

Code Identity

ICD-10-CM Code
T39.8X6A
Billable Status
Yes — Valid for Submission
Code Describes
Underdosing of other nonopioid analgesics and antipyretics, not elsewhere classified, initial encounter
Short Description
Underdosing of nonopioid analges/antipyret, NEC, init
Parent Code
Underdosing of other nonopioid analgesics and antipyretics, not elsewhere classified

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 CodeT39.8X6AUnderdosing of other nonopioid analgesics and antipyretics, not elsewhere classified, initial encounter

Code EditsBilling

Medicare Code Editor checks that affect claim validity for T39.8X6A.

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.

Coding GuidelinesGuidance

Underdosing refers to taking less of a medication than is prescribed by a provider or a manufacturer's instruction. Codes for underdosing should never be assigned as principal or first-listed codes. If a patient has a relapse or exacerbation of the medical condition for which the drug is prescribed because of the reduction in dose, then the medical condition itself should be coded.

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 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

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

CCSR INJ029
Underdosing of drugs and medicaments, initial encounter
Default principal diagnosis: inpatient No · outpatient No

Clinical InformationClinical

  • Clonixin

    anti-inflammatory analgesic.
  • Glafenine

    an anthranilic acid derivative with analgesic properties used for the relief of all types of pain.
  • Jamaica

    an island in the greater antilles in the west indies. its capital is kingston. it was discovered in 1494 by columbus and was a spanish colony 1509-1655 until captured by the english. its flourishing slave trade was abolished in the 19th century. it was a british colony 1655-1958 and a territory of the west indies federation 1958-62. it achieved full independence in 1962. the name is from the arawak xaymaca, rich in springs or land of springs. (from webster's new geographical dictionary, 1988, p564 & room, brewer's dictionary of names, 1992, p267)
  • Smilax

    a plant genus of the family smilacaceae. members contain smiglasides (phenylpropanoid glycosides) and steroidal saponins. commercially it is sometimes adulterated with hemidesmus, which would affect experimental results. drinks called sarsaparilla and root beer have been prepared from the smilaz ornata (jamaican sarsaparilla) and sassafras.
  • Ketorolac

    a pyrrolizine carboxylic acid derivative structurally related to indomethacin. it is an nsaid and is used principally for its analgesic activity. (from martindale the extra pharmacopoeia, 31st ed)
  • Ketorolac Tromethamine

    a pyrrolizine carboxylic acid derivative structurally related to indomethacin. it is a non-steroidal anti-inflammatory agent used for analgesia for postoperative pain and inhibits cyclooxygenase activity.
  • Meptazinol

    a narcotic antagonist with analgesic properties. it is used for the control of moderate to severe pain.
  • Nefopam

    non-narcotic analgesic chemically similar to orphenadrine. its mechanism of action is unclear. it is used for the relief of acute and chronic pain. (from martindale, the extra pharmacopoeia, 30th ed, p26)
  • Phenazopyridine

    a local anesthetic that has been used in urinary tract disorders. its use is limited by problems with toxicity (primarily blood disorders) and potential carcinogenicity.
  • Sumatriptan

    a serotonin agonist that acts selectively at 5ht1 receptors. it is used in the treatment of migraine disorders.

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
AcetylphenylhydrazineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
CarbipheneT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
ClonixinT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
CropropamideT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Cropropamide::with crotethamideT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
CrotethamideT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Crotethamide::with cropropamideT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
CryogenineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
CyclopyrabitalT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
DarvonT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
DiclonixineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
DoloxeneT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
EmorfazoneT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
EtomideT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
FloctafenineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
FluradolineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
GlafenineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
JamaicaT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Jamaica::dogwood (bark)T39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Jamaica::gingerT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Jamaica::ginger::rootT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
KetorolacT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
LefetamineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
MeptazinolT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
MethopholineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
MetofolineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
NefopamT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
OxetoroneT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Pentosan polysulfate (sodium)T39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
PerisoxalT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
PhenazopyridineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
PhenicarbazideT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Phenyramidol, phenyramidonT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Piscidia (bark) (erythrina)T39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
PyrabitalT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
PyridiumT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
Rimazolium metilsulfateT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
SumatriptanT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
TiaramideT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
TinoridineT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
VersidyneT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
ViminolT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6
ZactaneT39.8X1T39.8X2T39.8X3T39.8X4T39.8X5T39.8X6

Patient EducationClinical

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:

Read the full article at MedlinePlus

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

Convert T39.8X6A to ICD-9-CMHistory

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

ICD-9-CM
No Map There is no ICD-9 equivalent for this code.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T39.8X6AOverview

Is T39.8X6A a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report underdosing of other nonopioid analgesics and antipyretics, not elsewhere classified, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in T39.8X6A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for underdosing of other nonopioid analgesics and antipyretics, not elsewhere classified, such as an emergency visit or first evaluation.

Can T39.8X6A be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because underdosing of other nonopioid analgesics and antipyretics, not elsewhere classified, initial encounter describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

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.