ICDcodes.org
FY2027

T50.Z94APoisoning by other vaccines and biological substances, undetermined, initial encounter

Billable

Is T50.Z94A billable?

Yes — T50.Z94A is billable for FY2027. T50.Z94A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T50.Z94A may be submitted for encounters from October 1, 2026 through September 30, 2027.

T50.Z94A at a glance

CodeT50.Z94A
DescriptionPoisoning by other vaccines and biological substances, undetermined, initial encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "A"initial encounter

What does the 7th character "A" mean in T50.Z94A?

In T50.Z94A, the 7th character A means initial encounter. The 7th character is required for T50.Z94A to be a valid, complete code.

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

Which MS-DRGs does T50.Z94A group to?

T50.Z94A sits in MDC 21 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.

  • 917Poisoning and Toxic Effects of Drugs with MCCmedical
  • 918Poisoning and Toxic Effects of Drugs without MCCmedical

Excludes1 — never code together — inherited from T36-T50

The conditions below can never be reported together with T50.Z94A 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.Z94A. T50.Z94A 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 T50.Z94A to fully describe the condition. T50.Z94A 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.Z94A to fully describe the condition. T50.Z94A 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 T50.Z94A, but a patient may have both at the same time. When documentation supports it, T50.Z94A 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 T50.Z94A, but a patient may have both at the same time. When documentation supports it, T50.Z94A 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)

How long has T50.Z94A existed?

T50.Z94A 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.