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T41.204 vs T41.205

T41.204 (Poisoning by unspecified general anesthetics, undetermined) compared with T41.205 (Adverse effect of unspecified general anesthetics), from the official CMS tabular data. T41.204 and T41.205 code the same substance (Premedication) with a different intent.

Relationship

Informational

Drug table relationship

T41.204
Poisoning by unspecified general anesthetics, undetermined
T41.205
Adverse effect of unspecified general anesthetics

Same substance, different circumstance of exposure.

Same substance — adverse effect (Premedication)

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

Can these codes be reported together?

Same substance, different intent. T41.204 and T41.205 code the same substance (Premedication) 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.

Side by side

T41.204Poisoning by unspecified general anesthetics, undeterminedT41.205Adverse effect of unspecified general anesthetics
Billing statusNon-billable header

Report instead: T41.204A, T41.204D, T41.204S

Non-billable header

Report instead: T41.205A, T41.205D, T41.205S

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 unspecified general anesthetics, undetermined is a non-billable ICD-10-CM category code (T41.204).Adverse effect of unspecified general anesthetics is a non-billable ICD-10-CM category code (T41.205).
7th characterThe appropriate 7th character is to be added to each code from category T41The appropriate 7th character is to be added to each code from category T41
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