ICD-10-CM Diagnosis Code T36.5X3S - Poisoning by aminoglycosides, assault, sequela (original) (raw)

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Poisoning by aminoglycosides, assault, sequela

ICD-10-CM Code:

T36.5X3S

ICD-10 Code for:

Poisoning by aminoglycosides, assault, sequela

Is Billable?

Yes - Valid for Submission

Chronic Condition Indicator: [1]

Not chronic

Code Navigator:

T36.5X3S is a billable diagnosis code used to specify a medical diagnosis of poisoning by aminoglycosides, assault, sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

T36.5X3S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like poisoning by aminoglycosides assault. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

  1. Code Information
  2. Clinical Classification
  3. Clinical Information
  4. Coding Guidelines
  5. Tabular List of Diseases and Injuries
  6. Diagnostic Related Groups Mapping
  7. Present on Admission (POA)
  8. Convert to ICD-9 Code
  9. Table of Drugs and Chemicals
  10. Patient Education
  11. Other Codes Used Similar Conditions
  12. Code History

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

CCSR Code: INJ075

Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

a broad-spectrum antibiotic derived from kanamycin. it is reno- and oto-toxic like the other aminoglycoside antibiotics.

a class of enzymes that inactivate aminocyclitol-aminoglycoside antibiotics (aminoglycosides) by regiospecific phosphorylation of the 3' and/or 5' hydroxyl.

analog of kanamycin with antitubercular as well as broad-spectrum antimicrobial properties.

a component of neomycin that is produced by streptomyces fradiae. on hydrolysis it yields neamine and neobiosamine b. (from merck index, 11th ed)

antibiotic complex produced by streptomyces kanamyceticus from japanese soil. comprises 3 components: kanamycin a, the major component, and kanamycins b and c, the minor components.

nonsusceptibility of bacteria to the antibiotic kanamycin, which can bind to their 70s ribosomes and cause misreading of messenger rna.

semisynthetic 1-n-ethyl derivative of sisomycin, an aminoglycoside antibiotic with action similar to gentamicin, but less ear and kidney toxicity.

an antibiotic compound derived from streptomyces niveus. it has a chemical structure similar to coumarin. novobiocin binds to dna gyrase, and blocks adenosine triphosphatase (atpase) activity. (from reynolds, martindale the extra pharmacopoeia, 30th ed, p189)

an aminoglycoside antibacterial and antiprotozoal agent produced by species of streptomyces.

a broad-spectrum antimicrobial isolated from streptomyces ribosifidicus.

antibiotic produced by micromonospora inyoensis. it is closely related to gentamicin c1a, one of the components of the gentamicin complex (gentamicins).

an antibiotic produced by streptomyces spectabilis. it is active against gram-negative bacteria and used for the treatment of gonorrhea.

an aminoglycoside, broad-spectrum antibiotic produced by streptomyces tenebrarius. it is effective against gram-negative bacteria, especially the pseudomonas species. it is a 10% component of the antibiotic complex, nebramycin, produced by the same species.

a topical preparation of tobramycin and dexamethasone that is used for treating or preventing superficial bacterial infections of the eye.

When coding a poisoning or reaction to the improper use of a medication (e.g., overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories T36-T50. The poisoning codes have an associated intent as their 5th or 6th character (accidental, intentional self-harm, assault and undetermined. If the intent of the poisoning is unknown or unspecified, code the intent as accidental intent. The undetermined intent is only for use if the documentation in the record specifies that the intent cannot be determined. Use additional code(s) for all manifestations of poisonings.

The appropriate 7th character is to be added to each code from block Poisoning by, adverse effect of and underdosing of systemic antibiotics (T36). Use the following options for the aplicable episode of care:

T36.5X3S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA Indicator: Y

Reason: Diagnosis was present at time of inpatient admission.

CMS Pays CC/MCC DRG? YES

POA Indicator: N

Reason: Diagnosis was not present at time of inpatient admission.

CMS Pays CC/MCC DRG? NO

POA Indicator: U

Reason: Documentation insufficient to determine if the condition was present at the time of inpatient admission.

CMS Pays CC/MCC DRG? NO

POA Indicator: W

Reason: Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.

CMS Pays CC/MCC DRG? YES

POA Indicator: 1

Reason: Unreported/Not used - Exempt from POA reporting.

CMS Pays CC/MCC DRG? NO

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

ICD-9-CM: 909.0

Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.

ICD-9-CM: E969

Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.

The parent code T36.5X3 of the current diagnosis code is referenced in the Table of Drugs and Chemicals, this table contains a classification of drugs, industrial solvents, corrosive gases, noxious plants, pesticides, and other toxic agents.

According to ICD-10-CM coding guidelines it is advised to do not code directly from the Table of Drugs and Chemicals, instead always refer back to the Tabular List when doing the initial coding. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. It is important to use as many codes as necessary to specify all reported drugs, medicinal or chemical substances. If the same diagnosis code describes the causative agent for more than one adverse reaction, poisoning, toxic effect or underdosing, utilize the code only once.

Filter table of drugs and chemicals:

Substance Poisoning Accidental (unintentional) Poisoning Accidental (self-harm) Poisoning Assault Poisoning Undetermined Adverse effect Underdosing
Amikacin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Astromicin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Bekanamycin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Dibekacin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Dihydrostreptomycin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Framycetin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Garamycin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Garamycin »ophthalmic preparation T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Garamycin »topical NEC T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Gentamicin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Gentamicin »ophthalmic preparation T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Gentamicin »topical NEC T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Isepamicin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Kanamycin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Kantrex T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Micronomicin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Mycifradin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Mycifradin »topical T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Neomycin (derivatives) T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Neomycin (derivatives) »with T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Neomycin (derivatives) »with »bacitracin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Neomycin (derivatives) »with »neostigmine T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Neomycin (derivatives) »ENT agent T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Neomycin (derivatives) »ophthalmic preparation T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Neomycin (derivatives) »topical NEC T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Netilmicin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Novobiocin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Paromomycin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Ribostamycin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Sisomicin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Spectinomycin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Streptoduocin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Streptomycin (derivative) T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Streptonivicin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Streptovarycin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6
Tobramycin T36.5X1 T36.5X2 T36.5X3 T36.5X4 T36.5X5 T36.5X6

Antibiotics

What are antibiotics?

Antibiotics are medicines that fight bacterial infections in people and animals. They work by killing the bacteria or by making it hard for the bacteria to grow and multiply.

Antibiotics can be taken in different ways:

What do antibiotics treat?

Antibiotics only treat certain bacterial infections, such as strep throat, urinary tract infections, and E. coli.

You may not need to take antibiotics for some bacterial infections. For example, you might not need them for many sinus infections or some ear infections. Taking antibiotics when they're not needed won't help you, and they can have side effects. Your health care provider can decide the best treatment for you when you're sick. Don't ask your provider to prescribe an antibiotic for you.

Do antibiotics treat viral infections?

Antibiotics do not work on viral infections. For example, you shouldn't take antibiotics for:

What are the side effects of antibiotics?

The side effects of antibiotics range from minor to very severe. Some of the common side effects include:

More serious side effects can include:

Call your health care provider if you develop any side effects while taking your antibiotic.

Why is it important to take antibiotics only when they're needed?

You should only take antibiotics when they are needed because they can cause side effects and can contribute to antibiotic resistance. Antibiotic resistance happens when the bacteria change and become able to resist the effects of an antibiotic. This means that the bacteria continue to grow.

How do I use antibiotics correctly?

When you take antibiotics, it is important that you take them responsibly:

Centers for Disease Control and Prevention

[Learn More in MedlinePlus]

Poisoning

A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include:

The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.

[Learn More in MedlinePlus]