T45.2X6 ICD-10-CM Code: Underdosing of vitamins
T45.2X6 is the authoritative medical code for Underdosing of vitamins. This classification is used in medical billing and clinical recording to specify the clinical criteria for underdosing of vitamins (ICD-10-CM T45.2X6), ensuring healthcare documentation aligns with current federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T45.2X6 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- 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 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- vitamin deficiencies (E50-E56)
- toxic reaction to local anesthesia in pregnancy (O29.3-)
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- poisoning by, adverse effect of and underdosing of nicotinic acid (derivatives) (T46.7)
- poisoning by, adverse effect of and underdosing of iron (T45.4)
- poisoning by, adverse effect of and underdosing of vitamin K (T45.7)
- 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
Underlying conditions that must be sequenced before this code.
- Code first, for adverse effects, the nature of the adverse effect, such as:
- adverse effect NOS (T88.7)
- aspirin gastritis (K29.-)
- blood disorders (D56-D76)
- contact dermatitis (L23-L25)
- dermatitis due to substances taken internally (L27.-)
- nephropathy (N14.0-N14.2)
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code(s) to specify:
- manifestations of poisoning
- underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
- underdosing of medication regimen (Z91.12-, Z91.13-)
Frequently Asked Questions (FAQ) & Clinical Guidance
Can T45.2X6 be billed directly?
No. T45.2X6 (Underdosing of vitamins) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does T45.2X6 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T45.
What can't be coded together with T45.2X6?
Per official ICD-10-CM Excludes1 instructions, T45.2X6 must not be reported together with: vitamin deficiencies (E50-E56); toxic reaction to local anesthesia in pregnancy (O29.3-).
Can T45.2X6 be reported alongside related conditions?
Per official ICD-10-CM Excludes2 instructions, T45.2X6 and the following are not considered part of each other and may both be reported when both conditions are present: poisoning by, adverse effect of and underdosing of nicotinic acid (derivatives) (T46.7); poisoning by, adverse effect of and underdosing of iron (T45.4); poisoning by, adverse effect of and underdosing of vitamin K (T45.7); abuse and dependence of psychoactive substances (F10-F19).
Does T45.2X6 need to be sequenced after another code?
Yes. Code first: , for adverse effects, the nature of the adverse effect, such as:; adverse effect NOS (T88.7); aspirin gastritis (K29.-); blood disorders (D56-D76).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T45.2X6 in its code family, with their registry titles.
- T45.2X4S — Poisoning by vitamins, undetermined, sequela
- T45.2X5 — Adverse effect of vitamins
- T45.2X5A — Adverse effect of vitamins, initial encounter
- T45.2X5D — Adverse effect of vitamins, subsequent encounter
- T45.2X5S — Adverse effect of vitamins, sequela
- T45.2X6A — Underdosing of vitamins, initial encounter
- T45.2X6D — Underdosing of vitamins, subsequent encounter
- T45.2X6S — Underdosing of vitamins, sequela
- T45.3 — Poisoning by, adverse effect of and underdosing of enzymes
- T45.3X — Poisoning by, adverse effect of and underdosing of enzymes
Associated Substances (52)
Substances from the official ICD-10-CM Table of Drugs and Chemicals that map to this code.
- Acetiamine
- Adenine
- Alfacalcidol
- Aneurine
- Ascorbic acid
- Axerophthol
- Benfotiamine
- Betacarotene
- Biotin
- Bisbentiamine
- Bisbutiamine
- Calcifediol
- Calciferol
- Calcitriol
- Carotene
- Cetotiamine
- Cevitamic acid
- Cholecalciferol
- Cobalamine
- Cod-liver oil
- Colecalciferol
- Cozyme
- Dexpanthenol
- Dextro calcium pantothenate
- Dextro pantothenyl alcohol
- Dihydrotachysterol
- Ergocalciferol
- Esculin
- Esculoside
- Flavine adenine dinucleotide
- Fursultiamine
- Ilopan
- Lactoflavin
- Niacinamide
- Nicotinamide
- Octotiamine
- Oleovitamin A
- Pangamic acid
- Panthenol
- Pantothenic acid
- Prosultiamine
- Provitamin A
- Pyridoxal phosphate
- Pyridoxine
- Retinol
- Riboflavin
- Thiamine
- Tocoferol
- Tocopherol
- Viosterol
- Vitamin NEC
- Yeast