2026 ICD-10-CM Diagnosis Code T50.B91APoisoning by other viral vaccines, accidental (unintentional), initial encounter

ICD-10-CM Codes›S00–T88›T36-T50›T50

ICD-10-CM T50.B91A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T50.B91A is a billable ICD-10-CM diagnosis code for poisoning by other viral vaccines, accidental (unintentional), initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 917 through 918. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under External cause codes: intent of injury, accidental/unintentional; External cause codes: poisoning by drug; and Poisoning by drugs, initial encounter.

Code Identity

ICD-10-CM Code
T50.B91A
Billable Status
Yes — Valid for Submission
Code Describes
Poisoning by other viral vaccines, accidental (unintentional), initial encounter
Short Description
Poisoning by oth viral vaccines, accidental, init
Parent Code
T50.B91
Poisoning by other viral vaccines, accidental (unintentional)

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.B91APoisoning by other viral vaccines, accidental (unintentional), initial encounter

Coding GuidelinesGuidance

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 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 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

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

CCSR EXT020
External cause codes: intent of injury, accidental/unintentional
Default principal diagnosis: inpatient No · outpatient No
CCSR EXT014
External cause codes: poisoning by drug
Default principal diagnosis: inpatient No · outpatient No
CCSR INJ022
Poisoning by drugs, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Rubella Vaccine

    a live attenuated virus vaccine of duck embryo or human diploid cell tissue culture origin, used for routine immunization of children and for immunization of nonpregnant adolescent and adult females of childbearing age who are unimmunized and do not have serum antibodies to rubella. children are usually immunized with measles-mumps-rubella combination vaccine. (dorland, 28th ed)

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
DiplovaxT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
Influenza vaccineT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
Measles virus vaccine (attenuated)T50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
MeruvaxT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
MumpsvaxT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
OrimuneT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
Poliomyelitis vaccineT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
Rubella vaccineT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
Rubeola vaccineT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
SynagisT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
Viral vaccine NECT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
YellowT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
Yellow::fever vaccineT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
Yellow::jasmineT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96
Yellow::phenolphthaleinT50.B91T50.B92T50.B93T50.B94T50.B95T50.B96

Patient EducationClinical

Medication Errors

Medicines treat infectious diseases, prevent problems from chronic diseases, and ease pain. But medicines can also cause harmful reactions if not used correctly. Errors can happen in the hospital, at the health care provider's office, at the pharmacy, or at home. You can help prevent errors by:

Read the full article at MedlinePlus

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

Convert T50.B91A to ICD-9-CMHistory

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

ICD-9-CM
979.6 Pois-viral/rick vacc NEC
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
E858.1 Acc poisn-systemic agent
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T50.B91AOverview

Is T50.B91A a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report poisoning by other viral vaccines, accidental (unintentional), initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in T50.B91A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for poisoning by other viral vaccines, accidental (unintentional), such as an emergency visit or first evaluation.

What MS-DRG does T50.B91A group to?

When poisoning by other viral vaccines, accidental (unintentional), initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 917, 918, with relative weights from 0.8571 to 1.5684 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of T50.B91A?

Under the General Equivalence Mappings, poisoning by other viral vaccines, accidental (unintentional), initial encounter converts to ICD-9-CM 979.6 (pois-viral/rick vacc NEC) and E858.1 (acc poisn-systemic agent). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.