T42.76XS

T42.76XS: Underdosing of unspecified antiepileptic and sedative-hypnotic drugs, sequela

Billable / specific codeICD-10-CMPOA exempt

T42.76XS is a billable, specific ICD-10-CM code for underdosing of unspecified antiepileptic and sedative-hypnotic drugs, sequela. It is valid for submission on a claim.

Check T42.76XS with the rest of the claim: free scrubber

7th 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 T42.76XS

Not part of this code, but both may be coded when both are present.

Written on T42: Poisoning by, adverse effect of and underdosing of antiepileptic, sedative- hypnotic and antiparkinsonism drugs

drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.--F19.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

T42.76XS 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.