2027 ICD-10-CM Diagnosis Code T50.0X5SAdverse effect of mineralocorticoids and their antagonists, sequela

ICD-10-CM Codes›S00–T88›T36-T50›T50

ICD-10-CM T50.0X5S
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

T50.0X5S is a billable ICD-10-CM diagnosis code for adverse effect of mineralocorticoids and their antagonists, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 922 through 923. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as aldosterone antagonists adverse reaction. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Poisoning/toxic effect/adverse effects/underdosing, sequela.

Code Identity

ICD-10-CM Code
T50.0X5S
Billable Status
Yes — Valid for Submission
Code Describes
Adverse effect of mineralocorticoids and their antagonists, sequela
Short Description
Adverse effect of mineralocorticoids and antag, sequela
Parent Code
Adverse effect of mineralocorticoids and their antagonists

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
CategoryT50Poisoning by, adverse effect of and underdosing of diuretics and other and unspecified drugs, medicaments and biological substances
This CodeT50.0X5SAdverse effect of mineralocorticoids and their antagonists, sequela

Code EditsBilling

Medicare Code Editor checks that affect claim validity for T50.0X5S.

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.

Present on Admission (POA)Billing

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Aldosterone antagonists adverse reaction
  • Fludrocortisone adverse reaction
  • Mineralocorticoid adverse reaction
  • Potassium canrenoate adverse reaction
  • Potassium sparing diuretic adverse reaction
  • Spironolactone adverse reaction

Coding GuidelinesGuidance

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 Poisoning by, adverse effect of and underdosing of diuretics and other and unspecified drugs, medicaments and biological substances (T50). 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 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to T50.0X5S: its own notes plus those printed at T50, block T36-T50, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
  • adverse effect of correct substance properly administered
  • poisoning by overdose of substance
  • poisoning by wrong substance given or taken in error
  • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
  • toxic reaction to local anesthesia in pregnancy (O29.3-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
  • abuse and dependence of psychoactive substances (F10-F19)
  • abuse of non-dependence-producing substances (F55.-)
  • immunodeficiency due to drugs (D84.821)
  • drug reaction and poisoning affecting newborn (P00-P96)
  • pathological drug intoxication (inebriation) (F10-F19)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Code First

The underlying condition named in the note is sequenced before this code.

From Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
  • for adverse effects, the nature of the adverse effect, such as:
  • adverse effect NOS (T88.7)
  • aspirin gastritis (K29.-)
  • blood disorders (D56-D76)
  • contact dermatitis (L23-L25)
  • dermatitis due to substances taken internally (L27.-)
  • nephropathy (N14.0-N14.2)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
  • code(s) to specify:
  • manifestations of poisoning
  • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
  • underdosing of medication regimen (Z91.12-, Z91.13-)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances applies to 3,186 codes
  • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From T50 Poisoning by, adverse effect of and underdosing of diuretics and other and unspecified drugs, medicaments and biological substances applies to 342 codes
  • The appropriate 7th character is to be added to each code from category T50
  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela this code

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name T50.0X5S, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming T50.0X5S: they are not reported together with it, unless the two conditions are unrelated.

  • T38 Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified
    mineralocorticoids and their antagonists (T50.0-) names T50.0-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming T50.0X5S: its condition is not part of those codes, and both may be reported when the patient has both.

  • T46.5 Poisoning by, adverse effect of and underdosing of other antihypertensive drugs
    poisoning by, adverse effect of and underdosing of diuretics (T50.0-T50.2) names T50.0-T50.2, which includes this code

Use Additional Code 1

These codes say to use an additional code from the note, and T50.0X5S is one of the codes named.

  • G61.1 Serum neuropathy
    code for adverse effect, if applicable, to identify serum (T50.-) names T50.-, which includes this code

Clinical ClassificationClinical

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

CCSR INJ075
Poisoning/toxic effect/adverse effects/underdosing, sequela
Default principal diagnosis: inpatient No · outpatient Yes

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
AldactoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
AldosteroneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist::AldosteroneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Canrenoic acidT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
CanrenoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Corticosteroid::mineralT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
DeoxycortoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
DesoxycorticosteroidT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
DesoxycortoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
FludrocortisoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
FluorhydrocortisoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
MineralocorticosteroidT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Potassium (salts) NEC::canrenoateT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Salt-retaining mineralocorticoidT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
SpironolactoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6

Patient EducationClinical

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, such as drug interactions, side effects, and allergies.

The full article covers:

  • What is a drug interaction?
  • What are side effects?
  • What are drug allergies?
  • How can I stay safe when taking medicines?

Read the full article at MedlinePlus

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

Convert T50.0X5S to ICD-9-CMHistory

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

ICD-9-CM
909.5 Lte efct advrs efct drug
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
E932.0 Adv eff corticosteroids
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About T50.0X5SOverview

What is the ICD-10 code for adverse effect of mineralocorticoids and their antagonists, sequela?

The ICD-10-CM code for adverse effect of mineralocorticoids and their antagonists, sequela is T50.0X5S (sometimes written as T500X5S). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is T50.0X5S (Adverse effect of mineralocorticoids and their antagonists) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report adverse effect of mineralocorticoids and their antagonists, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character S in T50.0X5S mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the adverse effect of mineralocorticoids and their antagonists itself has resolved, not the original event.

What MS-DRG does T50.0X5S group to?

On inpatient claims, adverse effect of mineralocorticoids and their antagonists, sequela maps to MS-DRG 923, 922, with relative weights from 0.9980 to 1.6248 depending on complications. Higher weights mean higher Medicare reimbursement.

Can T50.0X5S be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because adverse effect of mineralocorticoids and their antagonists, sequela describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.