T42.5X2S
T42.5X2S: Poisoning by mixed antiepileptics, intentional self-harm, sequela
Billable / specific codeICD-10-CMPOA exempt
T42.5X2S is a billable, specific ICD-10-CM code for poisoning by mixed antiepileptics, intentional self-harm, sequela. It is valid for submission on a claim.
Check T42.5X2S with the rest of the claim: free scrubber7th character "S": sequela
The appropriate 7th character is to be added to each code from category T42
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes2 inherited from the categories above T42.5X2S
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T42.5X2S is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56612Billing and Coding: CT of the Head
Code history
Unchanged in every release from FY2024 to FY2027.