2022 ICD-10-CM Code T41.3X5A
Adverse effect of local anesthetics, initial encounter
Code Classification
T41.3X5A is a billable diagnosis code used to specify a medical diagnosis of adverse effect of local anesthetics, initial encounter. The code T41.3X5A is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code T41.3X5A might also be used to specify conditions or terms like adverse reaction to peripheral nerve and plexus blocking anesthetic, adverse reaction to spinal anesthetic, adverse reaction to surface and infiltration anesthetic, adverse reaction to tetracaine, benzocaine adverse reaction , bupivacaine adverse reaction, etc.
The code T41.3X5A describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
T41.3X5A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like adverse effect of local anesthetics. 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.
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 Anesthetics and therapeutic gases (T41). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Unacceptable principal diagnosis - 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 Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Adverse reaction to peripheral nerve and plexus blocking anesthetic
- Adverse reaction to spinal anesthetic
- Adverse reaction to surface and infiltration anesthetic
- Adverse reaction to tetracaine
- Benzocaine adverse reaction
- Bupivacaine adverse reaction
- Cinchocaine adverse reaction
- Lidocaine adverse reaction
- Local anesthetic drug adverse reaction
- Oxybuprocaine adverse reaction
- Prilocaine adverse reaction
- Procaine adverse reaction
- Proxymetacaine adverse reaction
Convert T41.3X5A to ICD-9 Code
Table of Drugs and Chemicals
The parent code T41.3X5 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 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.
Information for Patients
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.
One problem is interactions, which may occur between
- Two drugs, such as aspirin and blood thinners
- Drugs and food, such as statins and grapefruit
- Drugs and supplements, such as ginkgo and blood thinners
- Drugs and diseases, such as aspirin and peptic ulcers
Interactions can change the actions of one or both drugs. The drugs might not work, or you could get side effects.
Side effects are unwanted effects caused by the drugs. Most are mild, such as a stomach aches or drowsiness, and go away after you stop taking the drug. Others can be more serious.
Drug allergies are another type of reaction. They can be mild or life-threatening. Skin reactions, such as hives and rashes, are the most common type. Anaphylaxis, a serious allergic reaction, is more rare.
When you start a new prescription or over-the-counter medication, make sure you understand how to take it correctly. Know which other medications and foods you need to avoid. Ask your health care provider or pharmacist if you have questions.
[Learn More in MedlinePlus]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
T41 | Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases | NON-BILLABLE CODE |
T41.0 | Poisoning by, adverse effect of and underdosing of inhaled anesthetics | NON-BILLABLE CODE |
T41.0X | Poisoning by, adverse effect of and underdosing of inhaled anesthetics | NON-BILLABLE CODE |
T41.0X1 | Poisoning by inhaled anesthetics, accidental (unintentional) | NON-BILLABLE CODE |
T41.0X1A | Poisoning by inhaled anesthetics, accidental (unintentional), initial encounter | BILLABLE CODE |
T41.0X1D | Poisoning by inhaled anesthetics, accidental (unintentional), subsequent encounter | BILLABLE CODE |
T41.0X1S | Poisoning by inhaled anesthetics, accidental (unintentional), sequela | BILLABLE CODE |
T41.0X2 | Poisoning by inhaled anesthetics, intentional self-harm | NON-BILLABLE CODE |
T41.0X2A | Poisoning by inhaled anesthetics, intentional self-harm, initial encounter | BILLABLE CODE |
T41.0X2D | Poisoning by inhaled anesthetics, intentional self-harm, subsequent encounter | BILLABLE CODE |
T41.0X2S | Poisoning by inhaled anesthetics, intentional self-harm, sequela | BILLABLE CODE |
T41.0X3 | Poisoning by inhaled anesthetics, assault | NON-BILLABLE CODE |
T41.0X3A | Poisoning by inhaled anesthetics, assault, initial encounter | BILLABLE CODE |
T41.0X3D | Poisoning by inhaled anesthetics, assault, subsequent encounter | BILLABLE CODE |
T41.0X3S | Poisoning by inhaled anesthetics, assault, sequela | BILLABLE CODE |
T41.0X4 | Poisoning by inhaled anesthetics, undetermined | NON-BILLABLE CODE |
T41.0X4A | Poisoning by inhaled anesthetics, undetermined, initial encounter | BILLABLE CODE |
T41.0X4D | Poisoning by inhaled anesthetics, undetermined, subsequent encounter | BILLABLE CODE |
T41.0X4S | Poisoning by inhaled anesthetics, undetermined, sequela | BILLABLE CODE |
T41.0X5 | Adverse effect of inhaled anesthetics | NON-BILLABLE CODE |
T41.0X5A | Adverse effect of inhaled anesthetics, initial encounter | BILLABLE CODE |
T41.0X5D | Adverse effect of inhaled anesthetics, subsequent encounter | BILLABLE CODE |
T41.0X5S | Adverse effect of inhaled anesthetics, sequela | BILLABLE CODE |
T41.0X6 | Underdosing of inhaled anesthetics | NON-BILLABLE CODE |
T41.0X6A | Underdosing of inhaled anesthetics, initial encounter | BILLABLE CODE |
T41.0X6D | Underdosing of inhaled anesthetics, subsequent encounter | BILLABLE CODE |
T41.0X6S | Underdosing of inhaled anesthetics, sequela | BILLABLE CODE |
T41.1 | Poisoning by, adverse effect of and underdosing of intravenous anesthetics | NON-BILLABLE CODE |
T41.1X | Poisoning by, adverse effect of and underdosing of intravenous anesthetics | NON-BILLABLE CODE |
T41.1X1 | Poisoning by intravenous anesthetics, accidental (unintentional) | NON-BILLABLE CODE |
T41.1X1A | Poisoning by intravenous anesthetics, accidental (unintentional), initial encounter | BILLABLE CODE |
T41.1X1D | Poisoning by intravenous anesthetics, accidental (unintentional), subsequent encounter | BILLABLE CODE |
T41.1X1S | Poisoning by intravenous anesthetics, accidental (unintentional), sequela | BILLABLE CODE |
T41.1X2 | Poisoning by intravenous anesthetics, intentional self-harm | NON-BILLABLE CODE |
T41.1X2A | Poisoning by intravenous anesthetics, intentional self-harm, initial encounter | BILLABLE CODE |
T41.1X2D | Poisoning by intravenous anesthetics, intentional self-harm, subsequent encounter | BILLABLE CODE |
T41.1X2S | Poisoning by intravenous anesthetics, intentional self-harm, sequela | BILLABLE CODE |
T41.1X3 | Poisoning by intravenous anesthetics, assault | NON-BILLABLE CODE |
T41.1X3A | Poisoning by intravenous anesthetics, assault, initial encounter | BILLABLE CODE |
T41.1X3D | Poisoning by intravenous anesthetics, assault, subsequent encounter | BILLABLE CODE |
T41.1X3S | Poisoning by intravenous anesthetics, assault, sequela | BILLABLE CODE |
T41.1X4 | Poisoning by intravenous anesthetics, undetermined | NON-BILLABLE CODE |
T41.1X4A | Poisoning by intravenous anesthetics, undetermined, initial encounter | BILLABLE CODE |
T41.1X4D | Poisoning by intravenous anesthetics, undetermined, subsequent encounter | BILLABLE CODE |
T41.1X4S | Poisoning by intravenous anesthetics, undetermined, sequela | BILLABLE CODE |
T41.1X5 | Adverse effect of intravenous anesthetics | NON-BILLABLE CODE |
T41.1X5A | Adverse effect of intravenous anesthetics, initial encounter | BILLABLE CODE |
T41.1X5D | Adverse effect of intravenous anesthetics, subsequent encounter | BILLABLE CODE |
T41.1X5S | Adverse effect of intravenous anesthetics, sequela | BILLABLE CODE |
T41.1X6 | Underdosing of intravenous anesthetics | NON-BILLABLE CODE |
T41.1X6A | Underdosing of intravenous anesthetics, initial encounter | BILLABLE CODE |
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)