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T36.A ICD-10-CM Code: Poisoning by, adverse effect of and underdosing of fluoroquinolone antibiotics

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50)

T36.A

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Poisoning by, adverse effect of and underdosing of fluoroquinolone antibiotics

Poisoning by, adverse effect of and underdosing of fluoroquinolone antibiotics

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
T36Poisoning by, adverse effect of and underdosing of systemic antibiotics
T36.APoisoning by, adverse effect of and underdosing of fluoroquinolone antibiotics

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for T36.A in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for T36.A in this effective period.

Related Child Codes

Official
T36.AXPoisoning by, adverse effect of and underdosing of fluoroquinolone antibiotics

Includes

Official

ICD-10-CM does not list Includes notes for T36.A in this effective period.

Excludes 1

Official
  • antineoplastic antibiotics (T45.1-)
  • locally applied antibiotic NEC (T49.0)
  • topically used antibiotic for ear, nose and throat (T49.6)
  • topically used antibiotic for eye (T49.5)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for T36.A in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for T36.A in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for T36.A in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

T36.A is the ICD-10-CM diagnosis code for poisoning by, adverse effect of and underdosing of fluoroquinolone antibiotics. T36.A sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (t36-t50).

Header codes like T36.A cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at T36.A's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for T36.A sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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