T36.5X2 (Poisoning by aminoglycosides, intentional self-harm) compared with T36.5X4 (Poisoning by aminoglycosides, undetermined), from the official CMS tabular data. T36.5X2 and T36.5X4 code the same substance (Amikacin) with a different intent.
Same substance, different circumstance of exposure.
Same substance — undetermined intent (Amikacin)
Accidental poisoning, intentional self-harm, assault, undetermined intent, adverse effect and underdosing are mutually exclusive columns — exactly one applies to a given encounter.
Source: CMS Table of Drugs and Chemicals
Same substance, different intent. T36.5X2 and T36.5X4 code the same substance (Amikacin) with a different circumstance of exposure.
From the CMS Table of Drugs and Chemicals: accidental poisoning, intentional self-harm, assault, undetermined intent, adverse effect and underdosing are mutually exclusive columns — only one of them applies to a given encounter.
| T36.5X2Poisoning by aminoglycosides, intentional self-harm | T36.5X4Poisoning by aminoglycosides, undetermined | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | S00-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) |
| Definition | Poisoning by aminoglycosides, intentional self-harm is a non-billable ICD-10-CM category code (T36.5X2). | Poisoning by aminoglycosides, undetermined is a non-billable ICD-10-CM category code (T36.5X4). |
| 7th character | The appropriate 7th character is to be added to each code from category T36 | The 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