T46.4X1D — Poisoning by angiotensin-converting-enzyme inhibitors, accidental (unintentional), subsequent encounter
Is T46.4X1D billable?
Yes — T46.4X1D is billable for FY2027. T46.4X1D is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T46.4X1D may be submitted for encounters from October 1, 2026 through September 30, 2027.
T46.4X1D at a glance
| Code | T46.4X1D |
|---|---|
| Description | Poisoning by angiotensin-converting-enzyme inhibitors, accidental (unintentional), subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in T46.4X1D?
In T46.4X1D, the 7th character D means subsequent encounter. The 7th character is required for T46.4X1D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T46.4X1D group to?
T46.4X1D 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
Inclusion terms
Alternative wording in documentation that is classified to T46.4X1D.
- Poisoning by angiotensin-converting-enzyme inhibitors NOS
Excludes1 — never code together — inherited from T36-T50
The conditions below can never be reported together with T46.4X1D 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-)
Excludes1 — never code together — inherited from T46
The conditions below can never be reported together with T46.4X1D on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- poisoning by, adverse effect of and underdosing of metaraminol (T44.4)
Code first — inherited from T36-T50
The underlying condition below must be sequenced before T46.4X1D. T46.4X1D describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T46.4X1D to fully describe the condition. T46.4X1D 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 T46.4X1D to fully describe the condition. T46.4X1D is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T46.4X1D, but a patient may have both at the same time. When documentation supports it, T46.4X1D and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T46.4X1D, but a patient may have both at the same time. When documentation supports it, T46.4X1D and the excluded code may both be reported.
How long has T46.4X1D existed?
T46.4X1D 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.