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T36.3X3A vs T36.3X3D

T36.3X3A (Poisoning by macrolides, assault, initial encounter) compared with T36.3X3D (Poisoning by macrolides, assault, subsequent encounter), from the official CMS tabular data. T36.3X3A and T36.3X3D code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. T36.3X3A and T36.3X3D code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

T36.3X3APoisoning by macrolides, assault, initial encounterT36.3X3DPoisoning by macrolides, assault, subsequent encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionPoisoning by macrolides, assault, initial encounter is a billable ICD-10-CM diagnosis code (T36.3X3A).Poisoning by macrolides, assault, subsequent encounter is a billable ICD-10-CM diagnosis code (T36.3X3D).
7th characterThe appropriate 7th character is to be added to each code from category T36The appropriate 7th character is to be added to each code from category T36
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
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
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)
code(s) to specify:
manifestations of poisoning
underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
Code first
, for adverse effects, the nature of the adverse effect, such as:
adverse effect NOS (T88.7)
, for adverse effects, the nature of the adverse effect, such as:
adverse effect NOS (T88.7)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources