2026 ICD-10-CM Diagnosis Code T43.8X3APoisoning by other psychotropic drugs, assault, initial encounter

ICD-10-CM Codes›S00–T88›T36-T50›T43

ICD-10-CM T43.8X3A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T43.8X3A is a billable ICD-10-CM diagnosis code for poisoning by other psychotropic drugs, assault, 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 2026 (October 1, 2025 through September 30, 2026) 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, assault; External cause codes: poisoning by drug; and Poisoning by drugs, initial encounter.

Code Identity

ICD-10-CM Code
T43.8X3A
Billable Status
Yes — Valid for Submission
Code Describes
Poisoning by other psychotropic drugs, assault, initial encounter
Short Description
Poisoning by other psychotropic drugs, assault, init encntr
Parent Code
T43.8X3
Poisoning by other psychotropic drugs, assault

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT36-T50Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
CategoryT43Poisoning by, adverse effect of and underdosing of psychotropic drugs, not elsewhere classified
This CodeT43.8X3APoisoning by other psychotropic drugs, assault, initial encounter

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 psychotropic drugs, not elsewhere classified (T43). 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 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EXT022
External cause codes: intent of injury, assault
Default principal diagnosis: inpatient No · outpatient No
CCSR EXT014
External cause codes: poisoning by drug
Default principal diagnosis: inpatient No · outpatient No
CCSR INJ022
Poisoning by drugs, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Memantine

    amantadine derivative that has some dopaminergic effects. it has been proposed as an antiparkinson agent.

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.

SubstanceAccidentalSelf-harmAssaultUndeter­minedAdverse
Effect		Under­dosing
4-Aminobutyric acidT43.8X1T43.8X2T43.8X3T43.8X4T43.8X5T43.8X6
EskalithT43.8X1T43.8X2T43.8X3T43.8X4T43.8X5T43.8X6
GABAT43.8X1T43.8X2T43.8X3T43.8X4T43.8X5T43.8X6
Gamma-aminobutyric acidT43.8X1T43.8X2T43.8X3T43.8X4T43.8X5T43.8X6
LithaneT43.8X1T43.8X2T43.8X3T43.8X4T43.8X5T43.8X6
LithonateT43.8X1T43.8X2T43.8X3T43.8X4T43.8X5T43.8X6
MemantineT43.8X1T43.8X2T43.8X3T43.8X4T43.8X5T43.8X6
NamendaT43.8X1T43.8X2T43.8X3T43.8X4T43.8X5T43.8X6
NizofenoneT43.8X1T43.8X2T43.8X3T43.8X4T43.8X5T43.8X6

Patient EducationClinical

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:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert T43.8X3A to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
969.8 Poison-psychotropic NEC
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
E962.0 Assault-pois w medic agt
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T43.8X3AOverview

Is T43.8X3A (Poisoning by other psychotropic drugs, assault) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report poisoning by other psychotropic drugs, assault, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in T43.8X3A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for poisoning by other psychotropic drugs, assault, such as an emergency visit or first evaluation.

What MS-DRG does T43.8X3A group to?

When poisoning by other psychotropic drugs, assault, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 917, 918, with relative weights from 0.8571 to 1.5684 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of T43.8X3A?

Under the General Equivalence Mappings, poisoning by other psychotropic drugs, assault, initial encounter converts to ICD-9-CM 969.8 (poison-psychotropic NEC) and E962.0 (assault-pois w medic agt). The mapping is approximate, so confirm the match fits the documentation.

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.