ICD-10-CM Diagnosis Code T36.8X5D - Adverse effect of other systemic antibiotics, subsequent encounter (original) (raw)

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Adverse effect of other systemic antibiotics, subsequent encounter

ICD-10-CM Code:

T36.8X5D

ICD-10 Code for:

Adverse effect of other systemic antibiotics, subs encntr

Is Billable?

Yes - Valid for Submission

Chronic Condition Indicator: [1]

Not chronic

Code Navigator:

T36.8X5D is a billable diagnosis code used to specify a medical diagnosis of adverse effect of other systemic antibiotics, subsequent encounter. 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.

This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

T36.8X5D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like adverse effect of other systemic antibiotics. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.

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

The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.

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: INJ065

Inpatient Default: X - Not applicable.

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

cyclic peptide antibiotic similar to viomycin. it is produced by streptomyces capreolus.

a broad-spectrum antimicrobial carboxyfluoroquinoline.

an antibacterial agent that is a semisynthetic analog of lincomycin.

cyclic polypeptide antibiotic from bacillus colistinus. it is composed of polymyxins e1 and e2 (or colistins a, b, and c) which act as detergents on cell membranes. colistin is less toxic than polymyxin b, but otherwise similar; the methanesulfonate is used orally.

a broad-spectrum 6-fluoronaphthyridinone antibacterial agent that is structurally related to nalidixic acid.

cyclic basic peptide related to viomycin. it is isolated from an induced mutant of streptomyces griseoverticillatus var. tuberacticus and acts as an antitubercular agent with less ototoxicity than tuberactinomycin.

a broad-spectrum antimicrobial fluoroquinolone. the drug strongly inhibits the dna-supercoiling activity of dna gyrase.

an antibiotic produced by streptomyces fradiae.

an antibiotic isolated from the fermentation broth of fusidium coccineum. (from merck index, 11th ed). it acts by inhibiting translocation during protein synthesis.

an antibiotic produced by streptomyces lincolnensis var. lincolnensis. it has been used in the treatment of staphylococcal, streptococcal, and bacteroides fragilis infections.

a synthetic fluoroquinolone (fluoroquinolones) with broad-spectrum antibacterial activity against most gram-negative and gram-positive bacteria. norfloxacin inhibits bacterial dna gyrase.

the l-isomer of ofloxacin.

a synthetic fluoroquinolone antibacterial agent that inhibits the supercoiling activity of bacterial dna gyrase, halting dna replication.

an antibiotic mixture of two components, a and b, obtained from nocardia lurida (or the same substance produced by any other means). it is no longer used clinically because of its toxicity. it causes platelet agglutination and blood coagulation and is used to assay those functions in vitro.

a high-molecular-weight plasma protein, produced by endothelial cells and megakaryocytes, that is part of the factor viii/von willebrand factor complex. the von willebrand factor has receptors for collagen, platelets, and ristocetin activity as well as the immunologically distinct antigenic determinants. it functions in adhesion of platelets to collagen and hemostatic plug formation. the prolonged bleeding time in von willebrand diseases is due to the deficiency of this factor.

lipoglycopeptide antibiotic from actinoplanes teichomyceticus active against gram-positive bacteria. it consists of five major components each with a different fatty acid moiety.

antibacterial obtained from streptomyces orientalis. it is a glycopeptide related to ristocetin that inhibits bacterial cell wall assembly and is toxic to kidneys and the inner ear.

nonsusceptibility of bacteria to the action of vancomycin, an inhibitor of cell wall synthesis.

strains of the genus enterococcus that are resistant to the antibiotic vancomycin. the enterococci become resistant by acquiring plasmids carrying genes for vancomycin resistance.

isolates of the staphylococcus aureus that are resistant to the antibiotic vancomycin. the s. aureus becomes resistant by acquiring plasmids carrying genes for vancomycin resistance. vancomycin‐intermediate s. aureus has low-level vancomycin resistance requiring an intermediate concentration of vancomycin between sensitive and resistant isolates. these s. aureus with reduced susceptibility to vancomycin and related glycopeptide antibiotics are often seen in healthcare associated infections.

a strongly basic peptide, antibiotic complex from several strains of streptomyces. it is allergenic and toxic to kidneys and the labyrinth. viomycin is used in tuberculosis as several different salts and in combination with other agents.

a specific streptogramin group a antibiotic produced by streptomyces graminofaciens and other bacteria.

a cyclic polypeptide antibiotic complex from streptomyces virginiae, s. loidensis, s. mitakaensis, s. pristina-spiralis, s. ostreogriseus, and others. it consists of 2 major components, virginiamycin factor m1 and virginiamycin factor s1. it is used to treat infections with gram-positive organisms and as a growth promoter in cattle, swine, and poultry.

When coding an adverse effect of a drug that has been correctly prescribed and properly administered, assign the appropriate code for the nature of the adverse effect followed by the appropriate code for the adverse effect of the drug.

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:

This code was replaced in the 2026 ICD-10-CM code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2025. This code was replaced for the FY 2026 (October 1, 2025 - September 30, 2026).

The Medicare Code Editor (MCE) detects errors and inconsistencies in ICD-10-CM diagnosis coding that can affect Medicare claim validity. These Medicare code edits help medical coders and billing professionals determine when a diagnosis code is not appropriate as a principal diagnosis, does not meet coverage criteria. Use this list to verify whether a code is valid for Medicare billing and to avoid claim rejections or denials due to diagnosis coding issues.

There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

T36.8X5D 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: V58.89

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 T36.8X5 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
Aerosporin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Aerosporin »ENT agent T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Aerosporin »ophthalmic preparation T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Aerosporin »topical NEC T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Albamycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Amfomycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Amphomycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Betamicin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Capreomycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Carbomycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Cathomycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Ciprofloxacin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Clindamycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Colimycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Colistimethate T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Colistin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Colistin »sulfate (eye preparation) T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Co-trimoxazole T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Enoxacin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Enviomycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Fleroxacin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Fosfomycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Fugillin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Fumadil T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Fumagillin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Fusafungine T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Fusidate (ethanolamine) (sodium) T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Fusidic acid T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Lincomycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Magnamycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Mycitracin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Mycitracin »ophthalmic preparation T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Neosporin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Neosporin »ENT agent T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Neosporin »ophthalmic preparation T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Neosporin »topical NEC T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Norfloxacin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Ofloxacin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Polymyxin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Polymyxin »B T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Polymyxin »B »ENT agent T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Polymyxin »B »ophthalmic preparation T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Polymyxin »B »topical NEC T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Polymyxin »E sulfate (eye preparation) T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Ristocetin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Sulfomyxin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Teicoplanin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Vancomycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Viomycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6
Virginiamycin T36.8X1 T36.8X2 T36.8X3 T36.8X4 T36.8X5 T36.8X6

Drug Reactions

Most of the time, medicines make our lives better. They reduce aches and pains, fight infections, and control problems such as high blood pressure or diabetes. But medicines can also cause unwanted reactions, such as drug interactions, side effects, and allergies.

What is a drug interaction?

A drug interaction is a change in the way a drug acts in the body when taken with certain other drugs, foods, or supplements or when taken while you have certain medical conditions. Examples include:

Interactions could cause a drug to be more or less effective, cause side effects, or change the way one or both drugs work.

What are side effects?

Side effects are unwanted, usually unpleasant, effects caused by medicines. Most are mild, such as a stomachache, dry mouth, or drowsiness, and go away after you stop taking the medicine. Others can be more serious. Sometimes a drug can interact with a disease that you have and cause a side effect. For example, if you have a heart condition, certain decongestants can cause you to have a rapid heartbeat.

What are drug allergies?

Drug allergies are another type of reaction. They can range from mild to life-threatening. Skin reactions, such as hives and rashes, are the most common type. Anaphylaxis, a serious allergic reaction, is less common.

How can I stay safe when taking medicines?

When you start a new prescription or over-the-counter medicine, make sure you understand how to take it correctly. Know which other medicines, foods, and supplements you need to avoid. Always talk to your health care provider or pharmacist if you have questions about your medicines.

[Learn More in MedlinePlus]