T40.425 — Adverse effect of tramadol
Is T40.425 billable?
No — T40.425 is a non-billable header code. T40.425 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 3 billable codes beneath T40.425.
T40.425 at a glance
| Code | T40.425 |
|---|---|
| Description | Adverse effect of tramadol |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from T36-T50
The conditions below can never be reported together with T40.425 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- toxic reaction to local anesthesia in pregnancy (O29.3-)
Code first — inherited from T36-T50
The underlying condition below must be sequenced before T40.425. T40.425 describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T40.425 to fully describe the condition. T40.425 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from T36-T50
Report an additional code alongside T40.425 to fully describe the condition. T40.425 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T40.425, but a patient may have both at the same time. When documentation supports it, T40.425 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T40.425, but a patient may have both at the same time. When documentation supports it, T40.425 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T40
The conditions below are not part of T40.425, but a patient may have both at the same time. When documentation supports it, T40.425 and the excluded code may both be reported.
- drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.-F19.-)
What codes fall under T40.425? (3)
How long has T40.425 existed?
T40.425 first appears in FY2021 (FY2020 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.