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T44.4 vs T46.2

T44.4 (Poisoning by, adverse effect of and underdosing of predominantly alpha-adrenoreceptor agonists) compared with T46.2 (Poisoning by, adverse effect of and underdosing of other antidysrhythmic drugs, not elsewhere classified), from the official CMS tabular data.

Summary

These codes should not be reported together because T46.2’s tabular entry lists T44.4 under Excludes1.

Official rule
What is different?

Title wording.The titles share “Poisoning by, adverse effect of and underdosing of”; T44.4 says “predominantly alpha-adrenoreceptor agonists” where T46.2 says “other antidysrhythmic drugs, not elsewhere classified”.

Registry fact

Can these codes be reported together?

No.T46.2’s entry carries an Excludes1 note covering T44.4: “poisoning by, adverse effect of and underdosing of metaraminol (T44.4)”. Both may be reported only when the documentation shows the two conditions are unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

Yes.T46.2’s tabular entry: “poisoning by, adverse effect of and underdosing of metaraminol (T44.4)”. The note covers T44.4.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes2 relationship?

None.Neither entry carries an Excludes2 note that names the other code. T44.4 carries 5 Excludes2 notes and T46.2 carries 5 Excludes2 notes covering other codes; the side-by-side table quotes them.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

Both are headers.Both are non-billable headers, and neither contains the other.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Conflict

Excludes1 conflict

T46.2
Poisoning by, adverse effect of and underdosing of other antidysrhythmic drugs, not elsewhere classified
↔
T44.4
Poisoning by, adverse effect of and underdosing of predominantly alpha-adrenoreceptor agonists

What we found

No — do not report together.T46.2 carries an Excludes1 note covering T44.4: “poisoning by, adverse effect of and underdosing of metaraminol (T44.4)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

What to review

Report one of the two. Both may be reported only when the documentation shows the two conditions are unrelated to each other.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source / rule

CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Official guidance behind these answers

  • Section I.A.12.a — Excludes1 · applies to: Excludes1

    A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. An exception to the Excludes1 definition is the circumstance when the two conditions are unrelated to each other. If it is not clear whether the two conditions involving an Excludes1 note are related or not, query the provider. For example, code F45.8, Other somatoform disorders, has an Excludes1 note for "sleep related teeth grinding (G47.63)," because "teeth grinding" is an inclusion term under F45.8. Only one of these two codes should be assigned for teeth grinding. However psychogenic dysmenorrhea is also an inclusion term under F45.8, and a patient could have both this condition and sleep related teeth grinding. In this case, the two conditions are clearly unrelated to each other, and so it would be appropriate to report F45.8 and G47.63 together.

    ICD-10-CM Official Guidelines FY2026

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

T44.4Poisoning by, adverse effect of and underdosing of predominantly alpha-adrenoreceptor agonistsT46.2Poisoning by, adverse effect of and underdosing of other antidysrhythmic drugs, not elsewhere classified
Billing statusNon-billable header

Report instead: T44.4X1A, T44.4X1D, T44.4X1S, T44.4X2A, T44.4X2D

Non-billable header

Report instead: T46.2X1A, T46.2X1D, T46.2X1S, T46.2X2A, T46.2X2D

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, adverse effect of and underdosing of predominantly alpha-adrenoreceptor agonists is a non-billable ICD-10-CM category code (T44.4).Poisoning by, adverse effect of and underdosing of other antidysrhythmic drugs, not elsewhere classified is a non-billable ICD-10-CM category code (T46.2).
7th characterThe appropriate 7th character is to be added to each code from category T44The appropriate 7th character is to be added to each code from category T46
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
Excludes1
toxic reaction to local anesthesia in pregnancy (O29.3-)
poisoning by, adverse effect of and underdosing of beta-adrenoreceptor antagonists (T44.7-)
poisoning by, adverse effect of and underdosing of metaraminol (T44.4)
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)
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)
, for adverse effects, the nature of the adverse effect, such as:
adverse effect NOS (T88.7)
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)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources