2027 ICD-10-CM Diagnosis Code T42.6X1APoisoning by other antiepileptic and sedative-hypnotic drugs, accidental (unintentional), initial encounter
T42.6X1A is a billable ICD-10-CM diagnosis code for poisoning by other antiepileptic and sedative-hypnotic drugs, accidental (unintentional), initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 917 through 918. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under External cause codes: intent of injury, accidental/unintentional; External cause codes: poisoning by drug; and Poisoning by drugs, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Accidental beclamide overdose
- Accidental beclamide poisoning
- Accidental chloral hydrate overdose
- Accidental chlormethiazole overdose
- Accidental chlormethiazole poisoning
- Accidental chlormezanone overdose
- Accidental chlormezanone poisoning
- Accidental dichloralphenazone overdose
- Accidental dichloralphenazone poisoning
- Accidental gabapentin overdose
- Accidental gabapentin poisoning
- Accidental lamotrigine overdose
- Accidental lamotrigine poisoning
- Accidental methyprylone overdose
- Accidental methyprylone poisoning
- Accidental overdose by calcium channel blocker
- Accidental paraldehyde overdose
- Accidental piracetam overdose
- Accidental piracetam poisoning
- Accidental poisoning by bromide
- Accidental poisoning by bromine compounds
- Accidental poisoning by calcium channel blocker
- Accidental poisoning by carbamates
- Accidental poisoning by carbamic ester
- Accidental poisoning by chloral hydrate
- Accidental poisoning by glutethimide
- Accidental poisoning by methaqualone
- Accidental poisoning by paraldehyde
- Accidental poisoning by pyrazole derivatives
- Accidental poisoning caused by carbromal
- Accidental poisoning caused by valproate
- Accidental primidone overdose
- Accidental primidone poisoning
- Accidental triclofos overdose
- Accidental triclofos poisoning
- Accidental valproate overdose
- Accidental vigabatrin overdose
- Accidental vigabatrin poisoning
- Accidental zolpidem overdose
- Accidental zolpidem poisoning
- Accidental zopiclone overdose
- Accidental zopiclone poisoning
- Beclamide overdose
- Beclamide poisoning
- Bromide poisoning
- Bromine compound poisoning
- Carbamate overdose
- Carbromal poisoning
- Chloral and/or chloral derivative overdose
- Chloral hydrate overdose
- Chlormethiazole overdose
- Chlormethiazole poisoning
- Chlormezanone overdose
- Chlormezanone poisoning
- Chronic bromine compound poisoning
- Dichloralphenazone overdose
- Dichloralphenazone poisoning
- Fetal disorder caused by anticonvulsant via placental transfer
- Fetal primidone syndrome
- Gabapentin overdose
- Gabapentin poisoning
- Glutethimide poisoning
- Lamotrigine overdose
- Lamotrigine poisoning
- Methaqualone poisoning
- Methyprylone overdose
- Methyprylone poisoning
- Overdose of calcium-channel blockers
- Paraldehyde overdose
- Piracetam overdose
- Piracetam poisoning
- Poisoning by chloral hydrate
- Poisoning by paraldehyde
- Poisoning by primidone
- Poisoning caused by valproate
- Poisoning caused by valproic acid
- Polybrominated biphenyl poisoning
- Primidone overdose
- Triclofos overdose
- Triclofos poisoning
- Valproate overdose
- Vigabatrin overdose
- Vigabatrin poisoning
- Zolpidem overdose
- Zolpidem poisoning
- Zopiclone overdose
- Zopiclone poisoning
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to T42.6X1A: its own notes plus those printed at T42.6, T42, block T36-T50, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- adverse effect of correct substance properly administered
- poisoning by overdose of substance
- poisoning by wrong substance given or taken in error
- underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- poisoning by, adverse effect of and underdosing of carbamazepine (T42.1-)
- toxic reaction to local anesthesia in pregnancy (O29.3-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Code First
The underlying condition named in the note is sequenced before this code.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category T42
- Ainitial encounter this code
- Dsubsequent encounter
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name T42.6X1A, its category, or a range that includes it.
Excludes2 2
These codes carry an Excludes2 note naming T42.6X1A: its condition is not part of those codes, and both may be reported when the patient has both.
- F13.2 Sedative, hypnotic or anxiolytic-related dependencesedative, hypnotic, or anxiolytic poisoning (T42.-) names T42.-, which includes this code
- T43 Poisoning by, adverse effect of and underdosing of psychotropic drugs, not elsewhere classifiedmethaqualone (T42.6-) names T42.6-, which includes this code
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Table of Drugs and ChemicalsClinical
Substances in the Table of Drugs and Chemicals that reference this code family. Always confirm in the Tabular List before coding.
Patient EducationClinical
Medication Errors
Medicines treat infectious diseases, prevent problems from chronic diseases, and ease pain. But medicines can also cause harmful reactions if not used correctly. Errors can happen in the hospital, at the health care provider's office, at the pharmacy, or at home. You can help prevent errors by:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert T42.6X1A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T42.6X1AOverview
Is T42.6X1A a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report poisoning by other antiepileptic and sedative-hypnotic drugs, accidental (unintentional), initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character A in T42.6X1A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for poisoning by other antiepileptic and sedative-hypnotic drugs, accidental (unintentional), such as an emergency visit or first evaluation.
What MS-DRG does T42.6X1A group to?
When poisoning by other antiepileptic and sedative-hypnotic drugs, accidental (unintentional), initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 918, 917, with relative weights from 0.8716 to 1.5698 depending on complications. Higher weights mean higher Medicare reimbursement.
Can T42.6X1A be reported with a code from T42.1?
Not as a rule. The Excludes1 note at T42.6, which applies to T42.6X1A, lists "poisoning by, adverse effect of and underdosing of carbamazepine (T42.1-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of T42.6X1A?
Under the General Equivalence Mappings, poisoning by other antiepileptic and sedative-hypnotic drugs, accidental (unintentional), initial encounter converts to ICD-9-CM 966.3 (pois-anticonvul NEC/NOS), 967.1 (poisoning-chloral hydrat), and 967.2 (poisoning-paraldehyde). The mapping is approximate, so confirm the match fits the documentation.
