ICD-10 Code T42.4X2

Poisoning by benzodiazepines, intentional self-harm

Version 2019 Replaced Code Non-Billable Code Poisoning Intentional
ICD-10:T42.4X2
Short Description:Poisoning by benzodiazepines, intentional self-harm
Long Description:Poisoning by benzodiazepines, intentional self-harm

Not Valid for Submission

ICD-10 T42.4X2 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of poisoning by benzodiazepines, intentional self-harm. The code is NOT valid for the year 2019 for the submission of HIPAA-covered transactions.

Consider the following ICD-10 codes with a higher level of specificity:

  • T42.4X2A - Poisoning by benzodiazepines, intentional self-harm, initial encounter
  • T42.4X2D - Poisoning by benzodiazepines, intentional self-harm, subsequent encounter
  • T42.4X2S - Poisoning by benzodiazepines, intentional self-harm, sequela

Deleted Code

This code was deleted in the 2019 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2018. This code was replaced for the FY 2019 (October 1, 2018 - September 30, 2019).

  • K59.03 - Drug induced constipation

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances (T36-T50)
      • Antiepileptic, sedative- hypnotic and antiparkinsonism drugs (T42)

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code T42.4X2 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 917 - POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
  • 918 - POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
  • 922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
  • 923 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
  • 949 - AFTERCARE WITH CC/MCC
  • 950 - AFTERCARE WITHOUT CC/MCC

Synonyms

The following clinical terms are approximate synonyms:

  • Alprazolam overdose
  • Alprazolam poisoning
  • Bromazepam overdose
  • Bromazepam poisoning
  • Chlordiazepoxide overdose
  • Clobazam overdose
  • Clobazam poisoning
  • Clonazepam overdose
  • Clonazepam poisoning
  • Clozapine overdose
  • Clozapine poisoning
  • Diazepam overdose
  • Flunitrazepam overdose
  • Flunitrazepam poisoning
  • Flurazepam overdose
  • Intentional alprazolam overdose
  • Intentional alprazolam poisoning
  • Intentional benzodiazepine overdose
  • Intentional bromazepam overdose
  • Intentional bromazepam poisoning
  • Intentional chlordiazepoxide overdose
  • Intentional chlordiazepoxide poisoning
  • Intentional clobazam overdose
  • Intentional clobazam poisoning
  • Intentional clonazepam overdose
  • Intentional clonazepam poisoning
  • Intentional clozapine overdose
  • Intentional clozapine poisoning
  • Intentional diazepam overdose
  • Intentional diazepam poisoning
  • Intentional flunitrazepam overdose
  • Intentional flunitrazepam poisoning
  • Intentional flurazepam overdose
  • Intentional flurazepam poisoning
  • Intentional ketazolam overdose
  • Intentional ketazolam poisoning
  • Intentional loprazolam overdose
  • Intentional loprazolam poisoning
  • Intentional lorazepam overdose
  • Intentional lorazepam poisoning
  • Intentional lormetazepam overdose
  • Intentional lormetazepam poisoning
  • Intentional medazepam overdose
  • Intentional medazepam poisoning
  • Intentional midazolam overdose
  • Intentional midazolam poisoning
  • Intentional nitrazepam overdose
  • Intentional nitrazepam poisoning
  • Intentional oxazepam overdose
  • Intentional oxazepam poisoning
  • Intentional poisoning by temazepam
  • Intentional potassium clorazepate overdose
  • Intentional potassium clorazepate poisoning
  • Intentional prazepam overdose
  • Intentional prazepam poisoning
  • Intentional temazepam overdose
  • Intentional triazolam overdose
  • Intentional triazolam poisoning
  • Ketazolam overdose
  • Ketazolam poisoning
  • Loprazolam overdose
  • Loprazolam poisoning
  • Lorazepam overdose
  • Lormetazepam overdose
  • Lormetazepam poisoning
  • Medazepam overdose
  • Midazolam overdose
  • Midazolam poisoning
  • Nitrazepam overdose
  • Overdose of temazepam
  • Oxazepam overdose
  • Oxazepam poisoning
  • Poisoning by chlordiazepoxide
  • Poisoning by diazepam
  • Poisoning by flurazepam
  • Poisoning by lorazepam
  • Poisoning by medazepam
  • Poisoning by nitrazepam
  • Poisoning by temazepam
  • Potassium clorazepate overdose
  • Potassium clorazepate poisoning
  • Prazepam overdose
  • Prazepam poisoning
  • Triazolam overdose
  • Triazolam poisoning

Table of Drugs and Chemicals

The code T42.4X2 is included 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. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. Use as many codes as necessary to describe all reported drugs, medicinal or chemical substances.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
self-harm
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
AlprazolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
BentazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
BenzodiapinT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
Benzodiazepine NECT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
BromazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
BrotizolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
CamazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
CarpipramineT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
ChlordiazepoxideT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
ClobazamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
ClonazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
Clorazepate (dipotassium)T42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
ClotiazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
CloxazolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
ClozapineT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
DalmaneT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
DelorazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
DiazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
EstazolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
EtizolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
FludiazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
FlunitrazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
FlurazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
FlutazolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
FlutoprazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
HalazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
HaloxazolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
KetazolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
LibriumT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
LoprazolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
LorazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
LormetazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
MedazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
MexazolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
MidazolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
NimetazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
NitrazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
NordazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
OxazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
OxazolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
PerlapineT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
PinazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
PrazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
QuazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
RohypnolT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
SeraxT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
TemazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
TetrazepamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
TofisopamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
TranxeneT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
TriazolamT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6
ValiumT42.4X1T42.4X2T42.4X3T42.4X4T42.4X5T42.4X6

Information for Patients


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.

  • Poisoning (Medical Encyclopedia)
  • Poisoning first aid (Medical Encyclopedia)
  • Toxicology screen (Medical Encyclopedia)

[Read More]

Self-Harm

Self-harm refers to a person's harming their own body on purpose. About 1 in 100 people hurts himself or herself in this way. More females hurt themselves than males. A person who self-harms usually does not mean to kill himself or herself. But they are at higher risk of attempting suicide if they do not get help.

Self-harm tends to begin in teen or early adult years. Some people may engage in self-harm a few times and then stop. Others engage in it more often and have trouble stopping.

Examples of self-harm include

  • Cutting yourself (such as using a razor blade, knife, or other sharp object to cut the skin)
  • Punching yourself or punching things (like a wall)
  • Burning yourself with cigarettes, matches, or candles
  • Pulling out your hair
  • Poking objects through body openings
  • Breaking your bones or bruising yourself

Many people cut themselves because it gives them a sense of relief. Some people use cutting as a means to cope with a problem. Some teens say that when they hurt themselves, they are trying to stop feeling lonely, angry, or hopeless.

It is possible to overcome the urge to hurt yourself. There are other ways to find relief and cope with your emotions. Counseling may help.

Dept. of Health and Human Services, Office on Women's Health

  • Trichotillomania (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.