2024 ICD-10-CM Diagnosis Code T48.1X4

Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], undetermined

ICD-10-CM Code:
T48.1X4
ICD-10 Code for:
Poisoning by skeletal muscle relaxants, undetermined
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
      (T36-T50)
      • Poisoning by, adverse effect of and underdosing of agents primarily acting on smooth and skeletal muscles and the respiratory system
        (T48)

T48.1X4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of poisoning by skeletal muscle relaxants [neuromuscular blocking agents], undetermined. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Poisoning by skeletal muscle relaxants, undetermined

Non-specific codes like T48.1X4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for poisoning by skeletal muscle relaxants, undetermined:

  • Use T48.1X4A for initial encounter - BILLABLE CODE

  • Use T48.1X4D for subsequent encounter - BILLABLE CODE

  • Use T48.1X4S for sequela - BILLABLE CODE

Clinical Information

  • Succinylcholine

    a quaternary skeletal muscle relaxant usually used in the form of its bromide, chloride, or iodide. it is a depolarizing relaxant, acting in about 30 seconds and with a duration of effect averaging three to five minutes. succinylcholine is used in surgical, anesthetic, and other procedures in which a brief period of muscle relaxation is called for.
  • Vecuronium Bromide

    monoquaternary homolog of pancuronium. a non-depolarizing neuromuscular blocking agent with shorter duration of action than pancuronium. its lack of significant cardiovascular effects and lack of dependence on good kidney function for elimination as well as its short duration of action and easy reversibility provide advantages over, or alternatives to, other established neuromuscular blocking agents.

Coding Guidelines

When coding a poisoning or reaction to the improper use of a medication (e.g., overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories T36-T50. The poisoning codes have an associated intent as their 5th or 6th character (accidental, intentional self-harm, assault and undetermined. If the intent of the poisoning is unknown or unspecified, code the intent as accidental intent. The undetermined intent is only for use if the documentation in the record specifies that the intent cannot be determined. Use additional code(s) for all manifestations of poisonings.

The appropriate 7th character is to be added to each code from block Poisoning by, adverse effect of and underdosing of agents primarily acting on smooth and skeletal muscles and the respiratory system (T48). Use the following options for the aplicable episode of care:

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

Table of Drugs and Chemicals

The 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-CM 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.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
(self-harm)
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
Aclatonium napadisilateT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Alcuronium (chloride)T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Atracurium besilateT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Carbolonium (bromide)T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Curare, curarineT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
CyclobenzaprineT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Decamethonium (bromide)T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Dimethyltubocurarinium chlorideT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Fazadinium bromideT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
FlaxedilT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Gallamine (triethiodide)T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Hexafluorenium bromideT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Hexafluronium (bromide)T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
HexanuoreniumT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Hexcarbacholine bromideT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
LaudexiumT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Mivacurium chlorideT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Myoneural blocking agentsT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Neuromuscular blocking drugT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Pancuronium (bromide)T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Relaxant, muscleT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Relaxant, muscle
  »anesthetic
T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Relaxant, muscle
  »central nervous system
T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Relaxant, muscle
  »skeletal NEC
T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Relaxant, muscle
  »smooth NEC
T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Skeletal muscle relaxantsT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
SuccinylcholineT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Suxamethonium (chloride)T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Suxethonium (chloride)T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
TubocurareT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Tubocurarine (chloride)T48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
UrariT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
Vecuronium bromideT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6
WooraliT48.1X1T48.1X2T48.1X3T48.1X4T48.1X5T48.1X6

Patient Education


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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Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.