T43.6
T43.6 — Poisoning by, adverse effect of and underdosing of psychostimulants
Non-billable headerICD-10-CM
T43.6 is a non-billable header ICD-10-CM code for poisoning by, adverse effect of and underdosing of psychostimulants. 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
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- poisoning by, adverse effect of and underdosing of cocaine (T40.5-)
Risk adjustment
T43.6 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead T43.6
7 child codes. Green means billable.
- T43.60Poisoning by, adverse effect of and underdosing of unspecified psychostimulant
- T43.61Poisoning by, adverse effect of and underdosing of caffeine
- T43.62Poisoning by, adverse effect of and underdosing of amphetamines
- T43.63Poisoning by, adverse effect of and underdosing of methylphenidate
- T43.64Poisoning by ecstasy
- T43.65Poisoning by, adverse effect of and underdosing of methamphetamines
- T43.69Poisoning by, adverse effect of and underdosing of other psychostimulants
Related codes at this level
Codes that share T43. If T43.6 is not quite right, the correct code is usually one of these.
- 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
- T43.8Poisoning by, adverse effect of and underdosing of other psychotropic drugs
- T43.9Poisoning by, adverse effect of and underdosing of unspecified psychotropic drug
Questions about T43.6
- Is T43.6 a billable ICD-10-CM code?
- No. T43.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T43.6 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50).
- What cannot be coded together with T43.6?
- T43.6 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.