Table of Drugs and Chemicals

soda

Caustic(s) NEC > soda

Poisoning intent, adverse effect and underdosing for this substance
SubstancePoisoning
Accidental (unintentional)Intentional self-harmAssaultUndeterminedAdverse effectUnderdosing
sodaT54.3X1
0.000maps to no HCC category
T54.3X2
0.299maps to HCC155
HCC155
age >= 2
T54.3X3
0.000maps to no HCC category
T54.3X4
0.000maps to no HCC category
No code published for this intentNo code published for this intent

Filled maps to an HCC · hollow maps to none. Coefficients are Community, Non-Dual, Aged under CMS-HCC V28 PY2027; only the A form risk-adjusts.

means CMS publishes no code for that intent. Different from 0.000, which means a code exists and risk-adjusts at zero.

The column is chosen by the documentation, not by the coder. Intent follows the documented circumstance; adverse effect requires that the drug was correctly prescribed and properly administered (Guideline I.C.19.e). How these figures were derived.

Codes above link to their Tabular List entry. Guideline I.C.19.e.1 directs you to confirm every code there before assigning it — the table routes many substances onto shared codes, so the tabular title often names a broader category than the one you looked up.