{"code":"T45.1X4","type":"category","title":"Poisoning by antineoplastic and immunosuppressive drugs, undetermined","codeAlso":[],"includes":["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"],"modern_v":"official26","codeFirst":[", 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)"],"excludes1":["poisoning by, adverse effect of and underdosing of immune checkpoint inhibitors and immunostimulant drugs (T45.A)","poisoning by, adverse effect of and underdosing of tamoxifen (T38.6)","toxic reaction to local anesthesia in pregnancy (O29.3-)"],"excludes2":["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)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"inclusionTerms":[],"useAdditionalCode":["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-)"],"clinicalDefinition":"Poisoning by antineoplastic and immunosuppressive drugs, undetermined is a non-billable ICD-10-CM category code (T45.1X4). A more specific billable subcode must be selected for claims submission. Includes: 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.","officialDefinition":"Poisoning by antineoplastic and immunosuppressive drugs, undetermined is a non-billable ICD-10-CM category code (T45.1X4). A more specific billable subcode must be selected for claims submission. Includes: 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): poisoning by, adverse effect of and underdosing of immune checkpoint inhibitors and immunostimulant drugs (T45.A); poisoning by, adverse effect of and underdosing of tamoxifen (T38.6); toxic reaction to local anesthesia in pregnancy (O29.3-). Excludes2 (not included here): 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). Code first: , 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: 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-). 7th character: The appropriate 7th character is to be added to each code from category T45.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category T45"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}