T42.74XD
T42.74XD: Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, undetermined, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
T42.74XD is a billable, specific ICD-10-CM code for poisoning by unspecified antiepileptic and sedative-hypnotic drugs, undetermined, subsequent encounter. It is valid for submission on a claim.
Check T42.74XD with the rest of the claim: free scrubber7th character "D": subsequent encounter
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 T42.74XD
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
T42.74XD is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56612Billing and Coding: CT of the Head
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Code history
Unchanged in every release from FY2024 to FY2027.