ICD-10-CM Code T43.012

Poisoning by tricyclic antidepressants, intentional self-harm

Version 2020 Replaced Code Non-Billable Code Poisoning Intentional

Not Valid for Submission

T43.012 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 tricyclic antidepressants, intentional self-harm. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code T43.012 might also be used to specify conditions or terms like amitriptyline overdose, amoxapine overdose, amoxapine poisoning, butriptyline overdose, butriptyline poisoning, clomipramine overdose, etc

ICD-10:T43.012
Short Description:Poisoning by tricyclic antidepressants, self-harm
Long Description:Poisoning by tricyclic antidepressants, intentional self-harm

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

Replaced Code

This code was replaced in the 2020 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, 2019. This code was replaced for the FY 2020 (October 1, 2019 - September 30, 2020).

  • K59.03 - Drug induced constipation

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Amitriptyline overdose
  • Amoxapine overdose
  • Amoxapine poisoning
  • Butriptyline overdose
  • Butriptyline poisoning
  • Clomipramine overdose
  • Clomipramine poisoning
  • Desipramine overdose
  • Desipramine poisoning
  • Dosulepin overdose
  • Dosulepin poisoning
  • Doxepin overdose
  • Doxepin poisoning
  • Imipramine overdose
  • Intentional amitriptyline overdose
  • Intentional amitriptyline poisoning
  • Intentional amoxapine overdose
  • Intentional amoxapine poisoning
  • Intentional butriptyline overdose
  • Intentional butriptyline poisoning
  • Intentional clomipramine overdose
  • Intentional clomipramine poisoning
  • Intentional desipramine overdose
  • Intentional desipramine poisoning
  • Intentional dosulepin overdose
  • Intentional dosulepin poisoning
  • Intentional doxepin overdose
  • Intentional doxepin poisoning
  • Intentional imipramine overdose
  • Intentional imipramine poisoning
  • Intentional iprindole overdose
  • Intentional iprindole poisoning
  • Intentional lofepramine overdose
  • Intentional lofepramine poisoning
  • Intentional nortriptyline overdose
  • Intentional nortriptyline poisoning
  • Intentional overdose of tricyclic antidepressant
  • Intentional protriptyline overdose
  • Intentional protriptyline poisoning
  • Intentional tricyclic antidepressant poisoning
  • Intentional trimipramine overdose
  • Intentional trimipramine poisoning
  • Iprindole overdose
  • Iprindole poisoning
  • Lofepramine overdose
  • Lofepramine poisoning
  • Nortriptyline overdose
  • Nortriptyline poisoning
  • Poisoning by amitriptyline
  • Poisoning by imipramine
  • Protriptyline overdose
  • Protriptyline poisoning
  • Trimipramine overdose
  • Trimipramine poisoning

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)
      • Psychotropic drugs, not elsewhere classified (T43)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Table of Drugs and Chemicals

The code T43.012 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
AllegronT43.011T43.012T43.013T43.014T43.015T43.016
AmineptineT43.011T43.012T43.013T43.014T43.015T43.016
AmitriptylineT43.011T43.012T43.013T43.014T43.015T43.016
AmitriptylinoxideT43.011T43.012T43.013T43.014T43.015T43.016
AmoxapineT43.011T43.012T43.013T43.014T43.015T43.016
ButriptylineT43.011T43.012T43.013T43.014T43.015T43.016
ChlorimipramineT43.011T43.012T43.013T43.014T43.015T43.016
CianopramineT43.011T43.012T43.013T43.014T43.015T43.016
ClomipramineT43.011T43.012T43.013T43.014T43.015T43.016
DesipramineT43.011T43.012T43.013T43.014T43.015T43.016
DesmethylimipramineT43.011T43.012T43.013T43.014T43.015T43.016
DibenzepinT43.011T43.012T43.013T43.014T43.015T43.016
DosulepinT43.011T43.012T43.013T43.014T43.015T43.016
DothiepinT43.011T43.012T43.013T43.014T43.015T43.016
DoxepinT43.011T43.012T43.013T43.014T43.015T43.016
ImipramineT43.011T43.012T43.013T43.014T43.015T43.016
IprindoleT43.011T43.012T43.013T43.014T43.015T43.016
LaroxylT43.011T43.012T43.013T43.014T43.015T43.016
LofepramineT43.011T43.012T43.013T43.014T43.015T43.016
MelitracenT43.011T43.012T43.013T43.014T43.015T43.016
MetapramineT43.011T43.012T43.013T43.014T43.015T43.016
NortriptylineT43.011T43.012T43.013T43.014T43.015T43.016
NoxiptilineT43.011T43.012T43.013T43.014T43.015T43.016
OpipramolT43.011T43.012T43.013T43.014T43.015T43.016
PertofraneT43.011T43.012T43.013T43.014T43.015T43.016
ProtriptylineT43.011T43.012T43.013T43.014T43.015T43.016
QuinupramineT43.011T43.012T43.013T43.014T43.015T43.016
SarotenT43.011T43.012T43.013T43.014T43.015T43.016
SinequanT43.011T43.012T43.013T43.014T43.015T43.016
TofranilT43.011T43.012T43.013T43.014T43.015T43.016
TrimipramineT43.011T43.012T43.013T43.014T43.015T43.016
TryptizolT43.011T43.012T43.013T43.014T43.015T43.016

Information for Patients


Antidepressants

Antidepressants are medicines that treat depression. Your doctor can prescribe them for you. They work to balance some of the natural chemicals in our brains. It may take several weeks for them to help. There are several types of antidepressants. You and your doctor may have to try a few before finding what works best for you.

Antidepressants may cause mild side effects that usually do not last long. These may include headache, nausea, sleep problems, restlessness, and sexual problems. Tell your doctor if you have any side effects. You should also let your doctor know if you take any other medicines, vitamins, or herbal supplements.

It is important to keep taking your medicines, even if you feel better. Do not stop taking your medicines without talking to your doctor. You often need to stop antidepressants gradually.

NIH: National Institute of Mental Health


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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.


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Self-Harm

What is self-harm?

Self-harm, or self-injury, is when a person hurts his or her own body on purpose. The injuries may be minor, but sometimes they can be severe. They may leave permanent scars or cause serious health problems. Some examples are

  • Cutting yourself (such as using a razor blade, knife, or other sharp object to cut your 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

Self-harm is not a mental disorder. It is a behavior - an unhealthy way to cope with strong feelings. However, some of the people who harm themselves do have a mental disorder.

People who harm themselves are usually not trying to kill themselves. But they are at higher risk of attempting suicide if they do not get help.

Why do people harm themselves?

There are different reasons why people harm themselves. Often, they have trouble coping and dealing with their feelings. They harm themselves to try to

  • Make themselves feel something, when they feel empty or numb inside
  • Block upsetting memories
  • Show that they need help
  • Release strong feelings that overwhelm them, such as anger, loneliness, or hopelessness
  • Punish themselves
  • Feel a sense of control

Who is at risk for self-harm?

There are people of all ages who harm themselves, but it usually starts in the teen or early adult years. Self-harm is more common in people who

  • Were abused or went through a trauma as children
  • Have mental disorders, such as
    • Depression
    • Eating disorders
    • Post-traumatic stress disorder
    • Certain personality disorders
  • Abuse drugs or alcohol
  • Have friends who self-harm
  • Have low self-esteem

What are the signs of self-harm?

Signs that someone may be hurting themselves include

  • Having frequent cuts, bruises, or scars
  • Wearing long sleeves or pants even in hot weather
  • Making excuses about injuries
  • Having sharp objects around for no clear reason

How can I help someone who self-harms?

If someone you know is self-harming, it is important not to be judgmental. Let that person know that you want to help. If the person is a child or teenager, ask him or her to talk to a trusted adult. If he or she won't do that, talk to a trusted adult yourself. If the person who is self-harming is an adult, suggest mental health counseling.

What the treatments are for self-harm?

There are no medicines to treat self-harming behaviors. But there are medicines to treat any mental disorders that the person may have, such as anxiety and depression. Treating the mental disorder may weaken the urge to self-harm.

Mental health counseling or therapy can also help by teaching the person

  • Problem-solving skills
  • New ways to cope with strong emotions
  • Better relationship skills
  • Ways to strengthen self-esteem

If the problem is severe, the person may need more intensive treatment in a psychiatric hospital or a mental health day program.


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