2025 ICD-10-CM code Y63.8
Failure in dosage during other surgical and medical care. This code is used to indicate a failure in the dosage of a medication or other substance during a surgical or medical procedure, excluding accidental overdoses or administering the wrong drug.
Medical necessity must be established by demonstrating that the dosage failure directly resulted in an adverse effect, additional treatment, prolonged hospitalization, or other significant clinical impact.
It is the clinician's responsibility to accurately document the specific type of dosage failure and any related complications.
In simple words: This code indicates a problem with the amount of medication or other substance given during a medical or surgical procedure, such as giving too much or too little, but not including giving the wrong medication entirely or an accidental overdose.
Failure in dosage during other surgical and medical care. This code excludes accidental overdose of drug or wrong drug given in error (T36-T50).
Example 1: A patient receiving an infusion experiences an adverse reaction due to an incorrect dilution of the fluid. The infusion is stopped, and the patient receives appropriate treatment for the reaction., During a surgical procedure, a patient receives an insufficient dose of anesthetic, leading to awareness during the procedure. Additional anesthetic is administered to ensure adequate sedation., A patient undergoing radiation therapy receives an overdose of radiation due to a malfunctioning machine. The incident is reported, and appropriate monitoring and treatment are provided for potential side effects.
Documentation should clearly specify the type of dosage failure, the substance involved, the administered dosage, the intended dosage, the method of administration, the time and date of the event, any corrective actions taken, and any resulting complications or adverse reactions.
** This code should not be used for accidental overdoses or administering the wrong drug, which are classified under T36-T50.