T43.96
T43.96 — Underdosing of unspecified psychotropic drug
Non-billable headerICD-10-CM
T43.96 is a non-billable header ICD-10-CM code for underdosing of unspecified psychotropic drug. 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
Risk adjustment
T43.96 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 T43.96
3 child codes. Green means billable.
Related codes at this level
Codes that share T43.9. If T43.96 is not quite right, the correct code is usually one of these.
- T43.91Poisoning by unspecified psychotropic drug, accidental (unintentional)
- T43.92Poisoning by unspecified psychotropic drug, intentional self-harm
- T43.93Poisoning by unspecified psychotropic drug, assault
- T43.94Poisoning by unspecified psychotropic drug, undetermined
- T43.95Adverse effect of unspecified psychotropic drug
Questions about T43.96
- Is T43.96 a billable ICD-10-CM code?
- No. T43.96 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T43.96 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).