T43
T43: Poisoning by, adverse effect of and underdosing of psychotropic drugs, not elsewhere classified
Non-billable headerICD-10-CM
T43 is a non-billable header ICD-10-CM code for poisoning by, adverse effect of and underdosing of psychotropic drugs, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category T43
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Other codes that can never be billed with T43
Their own Excludes1 notes name this code, so the conflict is not listed above.
- T45.0Poisoning by, adverse effect of and underdosing of antiallergic and antiemetic drugs
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead T43
9 child codes. Green means billable.
- T43.0Poisoning by, adverse effect of and underdosing of tricyclic and tetracyclic antidepressants
- T43.1Poisoning by, adverse effect of and underdosing of monoamine-oxidase-inhibitor antidepressants
- T43.2Poisoning by, adverse effect of and underdosing of other and unspecified antidepressants
- T43.3Poisoning by, adverse effect of and underdosing of phenothiazine antipsychotics and neuroleptics
- T43.4Poisoning by, adverse effect of and underdosing of butyrophenone and thiothixene neuroleptics
- T43.5Poisoning by, adverse effect of and underdosing of other and unspecified antipsychotics and neuroleptics
- T43.6Poisoning by, adverse effect of and underdosing of psychostimulants
- T43.8Poisoning by, adverse effect of and underdosing of other psychotropic drugs
- T43.9Poisoning by, adverse effect of and underdosing of unspecified psychotropic drug