T50.995A — Adverse effect of other drugs, medicaments and biological substances, initial encounter
Is T50.995A billable?
Yes — T50.995A is billable for FY2027. T50.995A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T50.995A may be submitted for encounters from October 1, 2026 through September 30, 2027.
T50.995A at a glance
| Code | T50.995A |
|---|---|
| Description | Adverse effect of other drugs, medicaments and biological substances, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in T50.995A?
In T50.995A, the 7th character A means initial encounter. The 7th character is required for T50.995A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T50.995A group to?
T50.995A sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 791Prematurity with Major Problemsmedical
Excludes1 — never code together — inherited from T36-T50
The conditions below can never be reported together with T50.995A 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 T50.995A. T50.995A describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T50.995A to fully describe the condition. T50.995A 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 T50.995A to fully describe the condition. T50.995A is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T50.995A, but a patient may have both at the same time. When documentation supports it, T50.995A and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T50.995A, but a patient may have both at the same time. When documentation supports it, T50.995A and the excluded code may both be reported.
How long has T50.995A existed?
T50.995A 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.