T44.3X5A vs T44.3X5S

T44.3X5A (Adverse effect of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, initial encounter) compared with T44.3X5S (Adverse effect of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, sequela), from the official CMS tabular data. T44.3X5A and T44.3X5S code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

T44.3X5A

Initial encounter

Adverse effect of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, initial encounter

↔

T44.3X5S

Sequela

Adverse effect of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, sequela

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. T44.3X5A and T44.3X5S 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

	T44.3X5AAdverse effect of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, initial encounter	T44.3X5SAdverse effect of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, sequela
Billing status	Billable	Billable
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	Adverse effect of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, initial encounter is a billable ICD-10-CM diagnosis code (T44.3X5A).	Adverse effect of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, sequela is a billable ICD-10-CM diagnosis code (T44.3X5S).
7th character	The appropriate 7th character is to be added to each code from category T44	The appropriate 7th character is to be added to each code from category T44
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)

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