Table of Drugs and Chemicals

Anti-infective NEC

Anti-infective NEC

Poisoning intent, adverse effect and underdosing for this substance
SubstancePoisoning
Accidental (unintentional)Intentional self-harmAssaultUndeterminedAdverse effectUnderdosing
Anti-infective NECT37.91
0.000maps to no HCC category
T37.92
0.299maps to HCC155
HCC155
age >= 2
T37.93
0.000maps to no HCC category
T37.94
0.000maps to no HCC category
T37.95
0.000maps to no HCC category
T37.96
0.000maps to no HCC category
anthelminticT37.4X1
0.000maps to no HCC category
T37.4X2
0.299maps to HCC155
HCC155
age >= 2
T37.4X3
0.000maps to no HCC category
T37.4X4
0.000maps to no HCC category
T37.4X5
0.000maps to no HCC category
T37.4X6
0.000maps to no HCC category
antibioticsT36.91
0.000maps to no HCC category
T36.92
0.299maps to HCC155
HCC155
age >= 2
T36.93
0.000maps to no HCC category
T36.94
0.000maps to no HCC category
T36.95
0.000maps to no HCC category
T36.96
0.000maps to no HCC category
antimalarialT37.2X1
0.000maps to no HCC category
T37.2X2
0.299maps to HCC155
HCC155
age >= 2
T37.2X3
0.000maps to no HCC category
T37.2X4
0.000maps to no HCC category
T37.2X5
0.000maps to no HCC category
T37.2X6
0.000maps to no HCC category
antimycobacterial NECT37.1X1
0.000maps to no HCC category
T37.1X2
0.299maps to HCC155
HCC155
age >= 2
T37.1X3
0.000maps to no HCC category
T37.1X4
0.000maps to no HCC category
T37.1X5
0.000maps to no HCC category
T37.1X6
0.000maps to no HCC category
antiprotozoal NECT37.3X1
0.000maps to no HCC category
T37.3X2
0.299maps to HCC155
HCC155
age >= 2
T37.3X3
0.000maps to no HCC category
T37.3X4
0.000maps to no HCC category
T37.3X5
0.000maps to no HCC category
T37.3X6
0.000maps to no HCC category
antiviralT37.5X1
0.000maps to no HCC category
T37.5X2
0.299maps to HCC155
HCC155
age >= 2
T37.5X3
0.000maps to no HCC category
T37.5X4
0.000maps to no HCC category
T37.5X5
0.000maps to no HCC category
T37.5X6
0.000maps to no HCC category
arsenicalT37.8X1
0.000maps to no HCC category
T37.8X2
0.299maps to HCC155
HCC155
age >= 2
T37.8X3
0.000maps to no HCC category
T37.8X4
0.000maps to no HCC category
T37.8X5
0.000maps to no HCC category
T37.8X6
0.000maps to no HCC category
bismuth, localT49.0X1
0.000maps to no HCC category
T49.0X2
0.299maps to HCC155
HCC155
age >= 2
T49.0X3
0.000maps to no HCC category
T49.0X4
0.000maps to no HCC category
T49.0X5
0.000maps to no HCC category
T49.0X6
0.000maps to no HCC category
ENTT49.6X1
0.000maps to no HCC category
T49.6X2
0.299maps to HCC155
HCC155
age >= 2
T49.6X3
0.000maps to no HCC category
T49.6X4
0.000maps to no HCC category
T49.6X5
0.000maps to no HCC category
T49.6X6
0.000maps to no HCC category
eye NECT49.5X1
0.000maps to no HCC category
T49.5X2
0.299maps to HCC155
HCC155
age >= 2
T49.5X3
0.000maps to no HCC category
T49.5X4
0.000maps to no HCC category
T49.5X5
0.000maps to no HCC category
T49.5X6
0.000maps to no HCC category
heavy metals NECT37.8X1
0.000maps to no HCC category
T37.8X2
0.299maps to HCC155
HCC155
age >= 2
T37.8X3
0.000maps to no HCC category
T37.8X4
0.000maps to no HCC category
T37.8X5
0.000maps to no HCC category
T37.8X6
0.000maps to no HCC category
local NECT49.0X1
0.000maps to no HCC category
T49.0X2
0.299maps to HCC155
HCC155
age >= 2
T49.0X3
0.000maps to no HCC category
T49.0X4
0.000maps to no HCC category
T49.0X5
0.000maps to no HCC category
T49.0X6
0.000maps to no HCC category
mixedT37.91
0.000maps to no HCC category
T37.92
0.299maps to HCC155
HCC155
age >= 2
T37.93
0.000maps to no HCC category
T37.94
0.000maps to no HCC category
T37.95
0.000maps to no HCC category
T37.96
0.000maps to no HCC category
ophthalmic preparationT49.5X1
0.000maps to no HCC category
T49.5X2
0.299maps to HCC155
HCC155
age >= 2
T49.5X3
0.000maps to no HCC category
T49.5X4
0.000maps to no HCC category
T49.5X5
0.000maps to no HCC category
T49.5X6
0.000maps to no HCC category
topical NECT49.0X1
0.000maps to no HCC category
T49.0X2
0.299maps to HCC155
HCC155
age >= 2
T49.0X3
0.000maps to no HCC category
T49.0X4
0.000maps to no HCC category
T49.0X5
0.000maps to no HCC category
T49.0X6
0.000maps to no HCC category

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.