ICD-10-CM Code T45.1X4D

Poisoning by antineoplastic and immunosuppressive drugs, undetermined, subsequent encounter

Version 2020 Replaced Code Billable Code POA Exempt

Valid for Submission

T45.1X4D is a billable code used to specify a medical diagnosis of poisoning by antineoplastic and immunosuppressive drugs, undetermined, subsequent encounter. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code T45.1X4D might also be used to specify conditions or terms like aclarubicin overdose, aclarubicin overdose of undetermined intent, aclarubicin poisoning, aclarubicin poisoning of undetermined intent, aminoglutethimide overdose, aminoglutethimide overdose of undetermined intent, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:T45.1X4D
Short Description:Poisoning by antineopl and immunosup drugs, undet, subs
Long Description:Poisoning by antineoplastic and immunosuppressive drugs, undetermined, subsequent encounter

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

Synonyms

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

  • Aclarubicin overdose
  • Aclarubicin overdose of undetermined intent
  • Aclarubicin poisoning
  • Aclarubicin poisoning of undetermined intent
  • Aminoglutethimide overdose
  • Aminoglutethimide overdose of undetermined intent
  • Aminoglutethimide poisoning
  • Aminoglutethimide poisoning of undetermined intent
  • Amsacrine overdose
  • Amsacrine overdose of undetermined intent
  • Amsacrine poisoning
  • Amsacrine poisoning of undetermined intent
  • Azathioprine overdose
  • Azathioprine overdose of undetermined intent
  • Azathioprine poisoning of undetermined intent
  • Bleomycin overdose
  • Bleomycin overdose of undetermined intent
  • Bleomycin poisoning of undetermined intent
  • Busulfan overdose
  • Busulfan overdose of undetermined intent
  • Busulfan poisoning of undetermined intent
  • Calcineurin inhibitor poisoning
  • Carboplatin overdose
  • Carboplatin overdose of undetermined intent
  • Carboplatin poisoning
  • Carboplatin poisoning of undetermined intent
  • Carmustine overdose
  • Carmustine overdose of undetermined intent
  • Carmustine poisoning
  • Carmustine poisoning of undetermined intent
  • Chlorambucil overdose
  • Chlorambucil overdose of undetermined intent
  • Chlorambucil poisoning of undetermined intent
  • Chlormethine overdose
  • Chlormethine overdose of undetermined intent
  • Chlormethine poisoning
  • Chlormethine poisoning of undetermined intent
  • Cisplatin overdose
  • Cisplatin overdose of undetermined intent
  • Cisplatin poisoning
  • Cisplatin poisoning of undetermined intent
  • Crisantaspase overdose
  • Crisantaspase overdose of undetermined intent
  • Crisantaspase poisoning
  • Crisantaspase poisoning of undetermined intent
  • Cyclophosphamide overdose
  • Cyclophosphamide overdose of undetermined intent
  • Cyclophosphamide poisoning of undetermined intent
  • Cyclosporin overdose
  • Cyclosporin overdose of undetermined intent
  • Cyclosporin poisoning
  • Cyclosporin poisoning of undetermined intent
  • Cytarabine overdose
  • Cytarabine overdose of undetermined intent
  • Cytarabine poisoning of undetermined intent
  • Dacarbazine overdose
  • Dacarbazine overdose of undetermined intent
  • Dacarbazine poisoning
  • Dacarbazine poisoning of undetermined intent
  • Dactinomycin overdose
  • Dactinomycin overdose of undetermined intent
  • Dactinomycin poisoning of undetermined intent
  • Daunorubicin poisoning of undetermined intent
  • Doxorubicin overdose
  • Doxorubicin overdose of undetermined intent
  • Doxorubicin poisoning
  • Doxorubicin poisoning of undetermined intent
  • Epirubicin overdose
  • Epirubicin overdose of undetermined intent
  • Epirubicin poisoning
  • Epirubicin poisoning of undetermined intent
  • Estramustine overdose
  • Estramustine overdose of undetermined intent
  • Estramustine poisoning
  • Estramustine poisoning of undetermined intent
  • Ethoglucid overdose
  • Ethoglucid overdose of undetermined intent
  • Ethoglucid poisoning
  • Ethoglucid poisoning of undetermined intent
  • Etoposide overdose
  • Etoposide overdose of undetermined intent
  • Etoposide poisoning
  • Etoposide poisoning of undetermined intent
  • Fludarabine overdose
  • Fludarabine overdose of undetermined intent
  • Fludarabine poisoning
  • Fludarabine poisoning of undetermined intent
  • Fluorouracil overdose
  • Fluorouracil overdose of undetermined intent
  • Fluorouracil poisoning of undetermined intent
  • Formestane poisoning
  • Formestane poisoning of undetermined intent
  • Hydroxycarbamide overdose
  • Hydroxycarbamide overdose of undetermined intent
  • Hydroxycarbamide poisoning
  • Hydroxycarbamide poisoning of undetermined intent
  • Idarubicin overdose
  • Idarubicin overdose of undetermined intent
  • Idarubicin poisoning
  • Idarubicin poisoning of undetermined intent
  • Ifosfamide overdose
  • Ifosfamide overdose of undetermined intent
  • Ifosfamide poisoning
  • Ifosfamide poisoning of undetermined intent
  • Lomustine overdose
  • Lomustine overdose of undetermined intent
  • Lomustine poisoning
  • Lomustine poisoning of undetermined intent
  • Melphalan overdose
  • Melphalan overdose of undetermined intent
  • Melphalan poisoning
  • Melphalan poisoning of undetermined intent
  • Mercaptopurine overdose
  • Mercaptopurine overdose of undetermined intent
  • Mercaptopurine poisoning of undetermined intent
  • Methotrexate overdose
  • Methotrexate overdose of undetermined intent
  • Methotrexate poisoning
  • Methotrexate poisoning of undetermined intent
  • Mitobronitol overdose
  • Mitobronitol overdose of undetermined intent
  • Mitobronitol poisoning
  • Mitobronitol poisoning of undetermined intent
  • Mitomycin overdose
  • Mitomycin overdose of undetermined intent
  • Mitomycin poisoning of undetermined intent
  • Mitoxantrone overdose
  • Mitoxantrone overdose of undetermined intent
  • Mitoxantrone poisoning
  • Mitoxantrone poisoning of undetermined intent
  • Nitrosurea overdose
  • Nitrosurea overdose
  • Nitrosurea poisoning
  • Nitrosurea poisoning
  • Paclitaxel overdose
  • Paclitaxel overdose of undetermined intent
  • Paclitaxel poisoning
  • Paclitaxel poisoning of undetermined intent
  • Pentostatin overdose
  • Pentostatin overdose of undetermined intent
  • Pentostatin poisoning
  • Pentostatin poisoning of undetermined intent
  • Piperazine overdose of undetermined intent
  • Piperazine poisoning of undetermined intent
  • Plicamycin overdose
  • Plicamycin overdose of undetermined intent
  • Plicamycin poisoning
  • Plicamycin poisoning of undetermined intent
  • Poisoning by actinomycin
  • Poisoning by azathioprine
  • Poisoning by bleomycin
  • Poisoning by busulfan
  • Poisoning by chlorambucil
  • Poisoning by cyclophosphamide
  • Poisoning by cytarabine
  • Poisoning by daunorubicin
  • Poisoning by fluorouracil
  • Poisoning by mercaptopurine
  • Poisoning by mitomycin
  • Poisoning by thiotepa
  • Procarbazine overdose
  • Procarbazine overdose of undetermined intent
  • Procarbazine poisoning
  • Procarbazine poisoning of undetermined intent
  • Razoxane overdose
  • Razoxane overdose of undetermined intent
  • Razoxane poisoning
  • Razoxane poisoning of undetermined intent
  • Thioguanine overdose
  • Thioguanine overdose of undetermined intent
  • Thioguanine poisoning
  • Thioguanine poisoning of undetermined intent
  • Thiotepa overdose
  • Thiotepa overdose of undetermined intent
  • Thio-TEPA poisoning of undetermined intent
  • Treosulfan overdose
  • Treosulfan overdose of undetermined intent
  • Treosulfan poisoning
  • Treosulfan poisoning of undetermined intent
  • Triazene antineoplastic overdose
  • Triazene antineoplastic poisoning
  • Vinblastine overdose
  • Vinblastine overdose of undetermined intent
  • Vinblastine poisoning
  • Vinblastine poisoning of undetermined intent
  • Vincristine overdose
  • Vincristine overdose of undetermined intent
  • Vincristine poisoning
  • Vincristine poisoning of undetermined intent
  • Vindesine overdose
  • Vindesine overdose of undetermined intent
  • Vindesine poisoning
  • Vindesine poisoning of undetermined intent

Diagnostic Related Groups

The ICD-10 code T45.1X4D is grouped in the following groups for version MS-DRG V37.0 What are 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).
applicable from 10/01/2020 through 09/30/2020.

  • 949 - AFTERCARE WITH CC/MCC
  • 950 - AFTERCARE WITHOUT CC/MCC

Present on Admission (POA)

T45.1X4D 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. Review other POA exempt codes here .

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

Convert T45.1X4D to ICD-9

  • V58.89 - Other specfied aftercare (Approximate Flag)

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)
      • Primarily systemic and hematological agents, NEC (T45)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA 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 Patients


Poisoning

A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include

  • Prescription or over-the-counter medicines taken in doses that are too high
  • Overdoses of illegal drugs
  • Carbon monoxide from gas appliances
  • Household products, such as laundry powder or furniture polish
  • Pesticides
  • Indoor or outdoor plants
  • Metals such as lead and mercury

The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.


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