2024 ICD-10-CM Diagnosis Code T42.6X3S

Poisoning by other antiepileptic and sedative-hypnotic drugs, assault, sequela

ICD-10-CM Code:
T42.6X3S
ICD-10 Code for:
Poisn by oth antieplptc and sed-hypntc drugs, asslt, sequela
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
      (T36-T50)
      • Poisoning by, adverse effect of and underdosing of antiepileptic, sedative- hypnotic and antiparkinsonism drugs
        (T42)

T42.6X3S is a billable diagnosis code used to specify a medical diagnosis of poisoning by other antiepileptic and sedative-hypnotic drugs, assault, sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

T42.6X3S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like poisoning by other antiepileptic and sedative-hypnotic drugs assault. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Mental and substance use disorders; sequelaMBD034Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Poisoning/toxic effect/adverse effects/underdosing, sequelaINJ075N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Bromine

    a halogen with the atomic symbol br, atomic number 35, and atomic weight 79.904. it is a volatile reddish-brown liquid that gives off suffocating vapors, is corrosive to the skin, and may cause severe gastroenteritis if ingested.
  • Bromine Compounds

    inorganic compounds that contain bromine as an integral part of the molecule.
  • Bromine Radioisotopes

    unstable isotopes of bromine that decay or disintegrate emitting radiation. br atoms with atomic weights 74-78, 80, and 82-90 are radioactive bromine isotopes.
  • Bromisovalum

    a sedative and mild hypnotic with potentially toxic effects.
  • Chlormethiazole

    a sedative and anticonvulsant often used in the treatment of alcohol withdrawal. chlormethiazole has also been proposed as a neuroprotective agent. the mechanism of its therapeutic activity is not entirely clear, but it does potentiate gamma-aminobutyric acid receptors response and it may also affect glycine receptors.
  • Chlormezanone

    a non-benzodiazepine that is used in the management of anxiety. it has been suggested for use in the treatment of muscle spasm.
  • Ethchlorvynol

    a sedative and hypnotic that has been used in the short-term management of insomnia. its use has been superseded by other drugs.
  • Glutethimide

    a hypnotic and sedative. its use has been largely superseded by other drugs.
  • Paraldehyde

    a hypnotic and sedative with anticonvulsant effects. however, because of the hazards associated with its administration, its tendency to react with plastic, and the risks associated with its deterioration, it has largely been superseded by other agents. it is still occasionally used to control status epilepticus resistant to conventional treatment. (from martindale, the extra pharmacopoeia, 30th ed, p608-9)
  • Primidone

    a barbiturate derivative that acts as a gaba modulator and anti-epileptic agent. it is partly metabolized to phenobarbital in the body and owes some of its actions to this metabolite.
  • Dipsacales

    an order of dicotyledonous flowering plants which includes six families. it is best known for its ornamental plants such as lonicera (honeysuckle), viburnum (arrowwood and guelder rose), and scabiosa (scabious, or pincushion flower).
  • Valerian

    a plant genus of the family valerianaceae, order dipsacales, subclass asteridae, class magnoliopsida. it is best known for the sedative use and valepotriate content of the roots. it is sometimes called garden heliotrope but is unrelated to true heliotrope (heliotropium).
  • Valerianaceae

    the valerian plant family of the order dipsacales, subclass asteridae, class magnoliopsida that is characterized by 3-5-lobed tubular flowers, often spurred at the base and clustered in tight heads.
  • Valerianella

    a plant genus of the family valerianaceae. it is sometimes called goosefoot cornsalad but should not be confused with true goosefoot (chenopodium).
  • Valproic Acid

    a fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of epilepsy and bipolar disorder. the mechanisms of its therapeutic actions are not well understood. it may act by increasing gamma-aminobutyric acid levels in the brain or by altering the properties of voltage-gated sodium channels.
  • Vigabatrin

    an analogue of gamma-aminobutyric acid. it is an irreversible inhibitor of 4-aminobutyrate transaminase, the enzyme responsible for the catabolism of gamma-aminobutyric acid and is used as an anticonvulsant. (from martindale the extra pharmacopoeia, 31st ed)
  • Zolpidem

    an imidazopyridine derivative and short-acting gaba-a receptor agonist that is used for the treatment of insomnia.

Coding Guidelines

When coding a poisoning or reaction to the improper use of a medication (e.g., overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories T36-T50. The poisoning codes have an associated intent as their 5th or 6th character (accidental, intentional self-harm, assault and undetermined. If the intent of the poisoning is unknown or unspecified, code the intent as accidental intent. The undetermined intent is only for use if the documentation in the record specifies that the intent cannot be determined. Use additional code(s) for all manifestations of poisonings.

The appropriate 7th character is to be added to each code from block Poisoning by, adverse effect of and underdosing of antiepileptic, sedative- hypnotic and antiparkinsonism drugs (T42). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Present on Admission (POA)

T42.6X3S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T42.6X3S to ICD-9-CM

  • ICD-9-CM Code: 909.0 - Late eff drug poisoning
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
  • ICD-9-CM Code: E969 - Late effect assault
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.

Table of Drugs and Chemicals

The parent code T42.6X3 of the current diagnosis code is referenced in the Table of Drugs and Chemicals, this table contains a classification of drugs, industrial solvents, corrosive gases, noxious plants, pesticides, and other toxic agents.

According to ICD-10-CM coding guidelines it is advised to do not code directly from the Table of Drugs and Chemicals, instead always refer back to the Tabular List when doing the initial coding. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. It is important to use as many codes as necessary to specify all reported drugs, medicinal or chemical substances. If the same diagnosis code describes the causative agent for more than one adverse reaction, poisoning, toxic effect or underdosing, utilize the code only once.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
(self-harm)
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
AcecarbromalT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
AcetylcarbromalT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
AcetylpheneturideT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
AllylisopropylacetylureaT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
AllyltribromideT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ApronalideT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
AvomineT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
BarbexacloneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
BeclamideT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Beta-ChlorT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Bromal (hydrate)T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Bromide saltsT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
BromineT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Bromine
  »compounds (medicinal)
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Bromine
  »sedative
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Bromine
  »vapor
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
BromisovalT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
BromisovalumT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
BromoformT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
BromuralT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
BromvaletoneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Butylchloral hydrateT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Carbamate (sedative)T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Carbamate (sedative)
  »herbicide
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Carbamate (sedative)
  »insecticide
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
CarbromalT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ChloralT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Chloral
  »derivative
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Chloral
  »hydrate
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ChloralamideT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ChloralodolT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ChlorbutolT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ChlorethiazolT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ChloretoneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ChlorhexadolT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ChlormethiazoleT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ChlormezanoneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ClomethiazoleT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Cloral betaineT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
DichloralphenozoneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Diethylsulfone-diethylmethaneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
DivalproexT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
DoridenT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
DormisonT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
EctylureaT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
EthchlorvynolT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
EthinamateT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
EtifoxineT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
GlutethimideT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
HexapropymateT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Lactuca (virosa) (extract)T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
LactucariumT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Lettuce opiumT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
LevanilT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
LevopromeT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
MeparfynolT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Methaqualone (compound)T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
MethylparafynolT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Methylpentynol, methylpenthynolT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
MethyprylonT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
NiaprazineT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
NoctecT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
NoludarT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ParacetaldehydeT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ParaldehydeT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
PericlorT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
PetrichloralT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
PhenacemideT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
PhenerganT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
PheneturideT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
PhthalimidoglutarimideT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
PlacidylT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
PrimidoneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ProgabideT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Propionaldehyde (medicinal)T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
PyrithyldioneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
QuaaludeT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
SedormidT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
SerenesilT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
SomnosT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
SoporT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
SulfonalT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
SulfonethylmethaneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
SulfonmethaneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
SulthiameT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
SultiameT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
TetronalT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ToloxatoneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
TribromacetaldehydeT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
TribromomethaneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
TrichloroethanolT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Trichloroethyl phosphateT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
TriclofosT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
TrionalT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
TripleT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Triple
  »bromides
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Triple
  »carbonate
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Triple
  »vaccine
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Triple
  »vaccine
    »DPT
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Triple
  »vaccine
    »including pertussis
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Triple
  »vaccine
    »MMR
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ValerianT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Valerian
  »root
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Valerian
  »tincture
T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ValmidT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ValnoctamideT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Valproate (sodium)T42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
Valproic acidT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ValpromideT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
VigabatrinT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
WelldormT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ZolpidemT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6
ZopicloneT42.6X1T42.6X2T42.6X3T42.6X4T42.6X5T42.6X6

Patient Education


Poisoning

A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include:

  • Prescription or over-the-counter medicines taken in doses that are too high
  • Overdoses of illegal drugs
  • Carbon monoxide from gas appliances
  • Household products, such as laundry powder or furniture polish
  • Pesticides
  • Indoor or outdoor plants
  • Metals such as lead and mercury

The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.