ICD-10 Code T44.3X5S

Adverse effect of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, sequela

Version 2019 Replaced Code Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

T44.3X5S is a billable code used to specify a medical diagnosis of adverse effect of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, sequela. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10: T44.3X5S
Short Description:Adverse effect of parasympath and spasmolytics, sequela
Long Description:Adverse effect of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, sequela

Replaced Code

This code was replaced in the 2020 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2019. This code was replaced for the FY 2020 (October 1, 2019 - September 30, 2020).

  • K59.03 - Drug induced constipation

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances (T36-T50)
      • Drugs primarily affecting the autonomic nervous system (T44)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (first year ICD-10-CM implemented into the HIPAA mandated code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Medical Professionals

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.

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code T44.3X5S is grouped in the following groups for version MS-DRG V37.0 applicable from 10/01/2020 through 09/30/2020.

  • 922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
  • 923 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC

Convert T44.3X5S to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 909.5 - Lte efct advrs efct drug (Combination Flag)
  • E941.1 - Adv eff parasympatholytc (Combination Flag)

Present on Admission (POA)

T44.3X5S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Synonyms

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

  • Adverse reaction to adiphenine
  • Adverse reaction to parasympatholytic and spasmolytic
  • Adverse reaction to smooth muscle relaxant
  • Alverine adverse reaction
  • Anticholinergic adverse reaction
  • Antimuscarinic adverse reaction
  • Antispasmodic adverse reaction
  • Antispasmodic adverse reaction
  • Antispasmodic adverse reaction
  • Antispasmodic adverse reaction
  • Antispasmodic adverse reaction
  • Antispasmodic adverse reaction
  • Antispasmodic adverse reaction
  • Antispasmodic adverse reaction
  • Atropine adverse reaction
  • Belladonna alkaloids adverse reaction
  • Biperiden adverse reaction
  • Cyclopentolate adverse reaction
  • Dicycloverine adverse reaction
  • Emepronium bromide adverse reaction
  • Flavoxate adverse reaction
  • Glycopyrronium adverse reaction
  • Homatropine adverse reaction
  • Hyoscine adverse reaction
  • Hyoscine butylbromide adverse reaction
  • Hyoscine hydrobromide adverse reaction
  • Mebeverine adverse reaction
  • Mepenzolate adverse reaction
  • Methixene adverse reaction
  • Oxybutynin adverse reaction
  • Papaverine adverse reaction
  • Phosphodiesterase inhibitor adverse reaction
  • Pipenzolate adverse reaction
  • Piperidolate hydrochloride adverse reaction
  • Poldine adverse reaction
  • Procyclidine adverse reaction
  • Propantheline adverse reaction
  • Trihexyphenidyl adverse reaction
  • Tropicamide adverse reaction

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]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.