ICDcodes.org
FY2027

T45.526SUnderdosing of antithrombotic drugs, sequela

Billable

Is T45.526S billable?

Yes — T45.526S is billable for FY2027. T45.526S is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T45.526S may be submitted for encounters from October 1, 2026 through September 30, 2027.

T45.526S at a glance

CodeT45.526S
DescriptionUnderdosing of antithrombotic drugs, sequela
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "S"sequela

What does the 7th character "S" mean in T45.526S?

In T45.526S, the 7th character S means sequela. The 7th character is required for T45.526S to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

What Medicare edits apply to T45.526S?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name T45.526S directly.

Cannot be a principal diagnosis — MCE edit 9

CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.

Which MS-DRGs does T45.526S group to?

T45.526S sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 949Aftercare with CC/MCCmedical
  • 950Aftercare without CC/MCCmedical

Excludes1 — never code together — inherited from T36-T50

The conditions below can never be reported together with T45.526S 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 T45.526S. T45.526S describes a manifestation and cannot be the principal or first-listed diagnosis.

  • , 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 — inherited from Chapter 19

Report an additional code alongside T45.526S to fully describe the condition. T45.526S 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 T45.526S to fully describe the condition. T45.526S is sequenced first.

  • 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-)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of T45.526S, but a patient may have both at the same time. When documentation supports it, T45.526S and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from T36-T50

The conditions below are not part of T45.526S, but a patient may have both at the same time. When documentation supports it, T45.526S and the excluded code may both be reported.

  • 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)

Excludes2 — not included here — inherited from T45.52

The conditions below are not part of T45.526S, but a patient may have both at the same time. When documentation supports it, T45.526S and the excluded code may both be reported.

  • poisoning by, adverse effect of and underdosing of aspirin (T39.01-)
  • poisoning by, adverse effect of and underdosing of acetylsalicylic acid (T39.01-)

How long has T45.526S existed?

T45.526S has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.