2027 ICD-10-CM Diagnosis Code T50.A15SAdverse effect of pertussis vaccine, including combinations with a pertussis component, sequela

ICD-10-CM Codes›S00–T88›T36-T50›T50

ICD-10-CM T50.A15S
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

T50.A15S is a billable ICD-10-CM diagnosis code for adverse effect of pertussis vaccine, including combinations with a pertussis component, 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. 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.A15S
Billable Status
Yes — Valid for Submission
Code Describes
Adverse effect of pertussis vaccine, including combinations with a pertussis component, sequela
Short Description
Advrs effect of pertuss vaccine, inc combin w pertuss, sqla
Parent Code
Adverse effect of pertussis vaccine, including combinations with a pertussis component

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.A15SAdverse effect of pertussis vaccine, including combinations with a pertussis component, sequela

Code EditsBilling

Medicare Code Editor checks that affect claim validity for T50.A15S.

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.

  • Adverse reaction to component of vaccine product containing low dose acellular Bordetella pertussis and Clostridium tetani and low dose Corynebacterium diphtheriae antigens
  • Adverse reaction to component of vaccine product containing only acellular Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae antigens
  • Adverse reaction to diphtheria and acellular pertussis and Haemophilus influenzae type b and hepatitis B and inactivated poliomyelitis and tetanus vaccine
  • Adverse reaction to diphtheria, pertussis, and tetanus vaccine
  • Adverse reaction to Haemophilus influenzae type b vaccine
  • Adverse reaction to hepatitis B vaccine
  • Adverse reaction to pertussis vaccine
  • Adverse reaction to poliomyelitis vaccine
  • Anaphylaxis caused by component of vaccine product containing low dose acellular Bordetella pertussis and Clostridium tetani and low dose Corynebacterium diphtheriae antigens
  • Anaphylaxis caused by component of vaccine product containing only acellular Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae antigens
  • Encephalitis caused by pertussis vaccine

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.A15S: 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.A15S, its category, or a range that includes it.

Use Additional Code 3

These codes say to use an additional code from the note, and T50.A15S is one of the codes named.

  • G04.02 Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis
    code to identify the vaccine (T50.A-, T50.B-, T50.Z-) names T50.A-, which includes this code
  • G04.32 Postimmunization acute necrotizing hemorrhagic encephalopathy
    code to identify the vaccine (T50.A-, T50.B-, T50.Z-) names T50.A-, which includes this code
  • 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
Diphtheria::toxoid::with tetanus toxoid::with pertussis componentT50.A11T50.A12T50.A13T50.A14T50.A15T50.A16
Diphtheria::vaccine::combination::including pertussisT50.A11T50.A12T50.A13T50.A14T50.A15T50.A16
Pertussis::vaccine (with diphtheria toxoid) (with tetanus toxoid)T50.A11T50.A12T50.A13T50.A14T50.A15T50.A16
Tetanus toxoid or vaccine::toxoid::with diphtheria toxoid::with pertussisT50.A11T50.A12T50.A13T50.A14T50.A15T50.A16
Triple::vaccine::DPTT50.A11T50.A12T50.A13T50.A14T50.A15T50.A16
Triple::vaccine::including pertussisT50.A11T50.A12T50.A13T50.A14T50.A15T50.A16
Vaccine NEC::bacterial NEC::with::pertussis componentT50.A11T50.A12T50.A13T50.A14T50.A15T50.A16
Vaccine NEC::diphtheria::with tetanus::and pertussisT50.A11T50.A12T50.A13T50.A14T50.A15T50.A16
Vaccine NEC::pertussisT50.A11T50.A12T50.A13T50.A14T50.A15T50.A16
Vaccine NEC::pertussis::with diphtheriaT50.A11T50.A12T50.A13T50.A14T50.A15T50.A16
Vaccine NEC::pertussis::with diphtheria::and tetanusT50.A11T50.A12T50.A13T50.A14T50.A15T50.A16
Vaccine NEC::pertussis::with other componentT50.A11T50.A12T50.A13T50.A14T50.A15T50.A16

Patient EducationClinical

Vaccine Safety

Vaccines play an important role in keeping us healthy. They protect us from serious and sometimes deadly diseases. Vaccines are injections (shots), liquids, pills, or nasal sprays that you take to teach your body's immune system to recognize and defend against harmful germs. The germs could be viruses or bacteria.

The full article covers:

  • What are vaccines?
  • Do vaccines cause side effects?
  • How are vaccines tested for safety?

Read the full article at MedlinePlus

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

Convert T50.A15S 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
E948.6 Adv eff pertussis vaccin
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.A15SOverview

Is T50.A15S a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report adverse effect of pertussis vaccine, including combinations with a pertussis component, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character S in T50.A15S mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the adverse effect of pertussis vaccine, including combinations with a pertussis component itself has resolved, not the original event.

What MS-DRG does T50.A15S group to?

On inpatient claims, adverse effect of pertussis vaccine, including combinations with a pertussis component, 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.A15S be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because adverse effect of pertussis vaccine, including combinations with a pertussis component, sequela describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is T50.A15S exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for adverse effect of pertussis vaccine, including combinations with a pertussis component, sequela on inpatient claims. The code appears in the Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances (T36-T50) range of the CMS exempt list.