2024 ICD-10-CM Diagnosis Code T88.6XXA
Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered, initial encounter
- ICD-10-CM Code:
- T88.6XXA
- ICD-10 Code for:
- Anaphyl reaction due to advrs eff drug/med prop admin, init
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
T88.6XXA is a billable diagnosis code used to specify a medical diagnosis of anaphylactic reaction due to adverse effect of correct drug or medicament properly administered, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
T88.6XXA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like anaphylactic reaction due to adverse effect of correct drug or medicament properly administered. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Adverse reaction to platelet aggregation inhibitor
- Adverse reaction to salicylate
- Adverse reaction to whole blood
- Allergic reaction after allergen immunotherapy
- Allergic reaction caused by antibacterial agent
- Allergic reaction caused by penicillin
- Anaphylaxis after allergen immunotherapy
- Anaphylaxis caused by allergy skin test
- Anaphylaxis caused by antibacterial agent
- Aspirin adverse reaction
- Blood product-induced anaphylactoid reaction
- Contrast media adverse reaction
- Drug-induced anaphylaxis
- Drug-induced anaphylaxis
- Immediate transfusion reaction
- Non-allergic anaphylaxis caused by aspirin
- Non-allergic anaphylaxis caused by drug
- Non-allergic anaphylaxis caused by drug
- Non-allergic anaphylaxis caused by drug
- Non-allergic anaphylaxis caused by drug
- Non-allergic anaphylaxis caused by non steroidal anti-inflammatory drug
- Non-allergic anaphylaxis caused by non steroidal anti-inflammatory drug
- Non-allergic anaphylaxis caused by parasympathomimetic agent
- Non-allergic anaphylaxis caused by whole blood
- Non-allergic hypersensitivity reaction caused by dialysis membrane
- Non-allergic hypersensitivity reaction caused by radiocontrast media
- Non-allergic hypersensitivity reaction during dialysis
- Penicillin-induced anaphylaxis
Clinical Classification
Clinical Category is Complication of other surgical or medical care, injury, initial encounter
- CCSR Category Code: INJ037
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Coding Guidelines
The appropriate 7th character is to be added to each code from block Other complications of surgical and medical care, not elsewhere classified (T88). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Convert T88.6XXA to ICD-9-CM
- ICD-9-CM Code: 995.0 - Other anaphylactic react
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
Patient Education
Anaphylaxis
Anaphylaxis is a serious allergic reaction. It can begin very quickly, and symptoms may be life-threatening. The most common causes are reactions to foods (especially peanuts), medications, and stinging insects. Other causes include exercise and exposure to latex. Sometimes no cause can be found.
It can affect many organs:
- Skin - itching, hives, redness, swelling
- Nose - sneezing, stuffy nose, runny nose
- Mouth - itching, swelling of the lips or tongue
- Throat - itching, tightness, trouble swallowing, swelling of the back of the throat
- Chest - shortness of breath, coughing, wheezing, chest pain or tightness
- Heart - weak pulse, passing out, shock
- Gastrointestinal tract - vomiting, diarrhea, cramps
- Nervous system - dizziness or fainting
If someone is having a serious allergic reaction, call 911. If an auto-injector is available, give the person the injection right away.
[Learn More in MedlinePlus]
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.
What is a drug interaction?
A drug interaction is a change in the way a drug acts in the body when taken with certain other drugs, foods, or supplements or when taken while you have certain medical conditions. Examples include:
- Two drugs, such as aspirin and blood thinners
- Drugs and food, such as statins and grapefruit
- Drugs and supplements, such as gingko and blood thinners
- Drugs and medical conditions, such as aspirin and peptic ulcers
Interactions could cause a drug to be more or less effective, cause side effects, or change the way one or both drugs work.
What are side effects?
Side effects are unwanted, usually unpleasant, effects caused by medicines. Most are mild, such as a stomachache, dry mouth, or drowsiness, and go away after you stop taking the medicine. Others can be more serious. Sometimes a drug can interact with a disease that you have and cause a side effect. For example, if you have a heart condition, certain decongestants can cause you to have a rapid heartbeat.
What are drug allergies?
Drug allergies are another type of reaction. They can range from mild to life-threatening. Skin reactions, such as hives and rashes, are the most common type. Anaphylaxis, a serious allergic reaction, is less common.
How can I stay safe when taking medicines?
When you start a new prescription or over-the-counter medicine, make sure you understand how to take it correctly. Know which other medicines, foods, and supplements you need to avoid. Always talk to your health care provider or pharmacist if you have questions about your medicines.
[Learn More in MedlinePlus]
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.
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.