2024 ICD-10-CM Diagnosis Code T43.3X4A

Poisoning by phenothiazine antipsychotics and neuroleptics, undetermined, initial encounter

ICD-10-CM Code:
T43.3X4A
ICD-10 Code for:
Poisoning by phenothiaz antipsychot/neurolept, undet, init
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 psychotropic drugs, not elsewhere classified
        (T43)

T43.3X4A is a billable diagnosis code used to specify a medical diagnosis of poisoning by phenothiazine antipsychotics and neuroleptics, undetermined, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

T43.3X4A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like poisoning by phenothiazine antipsychotics and neuroleptics undetermined. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Approximate Synonyms

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

  • Pericyazine poisoning

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: intent of injury, undeterminedEXT023N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
External cause codes: poisoning by drugEXT014N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Poisoning by drugs, initial encounterINJ022Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Acepromazine

    a phenothiazine that is used in the treatment of psychoses.
  • Chlorpromazine

    the prototypical phenothiazine antipsychotic drug. like the other drugs in this class chlorpromazine's antipsychotic actions are thought to be due to long-term adaptation by the brain to blocking dopamine receptors. chlorpromazine has several other actions and therapeutic uses, including as an antiemetic and in the treatment of intractable hiccup.
  • Fluphenazine

    a phenothiazine used in the treatment of psychoses. its properties and uses are generally similar to those of chlorpromazine.
  • Mesoridazine

    a phenothiazine antipsychotic with effects similar to chlorpromazine.
  • Methotrimeprazine

    a phenothiazine with pharmacological activity similar to that of both chlorpromazine and promethazine. it has the histamine-antagonist properties of the antihistamines together with central nervous system effects resembling those of chlorpromazine. (from martindale, the extra pharmacopoeia, 30th ed, p604)
  • Perazine

    a phenothiazine antipsychotic with actions and uses similar to those of chlorpromazine. extrapyramidal symptoms may be more common than other side effects.
  • Perphenazine

    an antipsychotic phenothiazine derivative with actions and uses similar to those of chlorpromazine.
  • Prochlorperazine

    a phenothiazine antipsychotic used principally in the treatment of nausea; vomiting; and vertigo. it is more likely than chlorpromazine to cause extrapyramidal disorders. (from martindale, the extra pharmacopoeia, 30th ed, p612)
  • Promazine

    a phenothiazine with actions similar to chlorpromazine but with less antipsychotic activity. it is primarily used in short-term treatment of disturbed behavior and as an antiemetic.
  • Thiethylperazine

    a dopamine antagonist that is particularly useful in treating the nausea and vomiting associated with anesthesia, mildly emetic cancer chemotherapy agents, radiation therapy, and toxins. this piperazine phenothiazine does not prevent vertigo or motion sickness. (from ama drug evaluations annual, 1994, p457)
  • Thioridazine

    a phenothiazine antipsychotic used in the management of phycoses, including schizophrenia.
  • Trifluoperazine

    a phenothiazine with actions similar to chlorpromazine. it is used as an antipsychotic and an antiemetic.
  • Triflupromazine

    a phenothiazine used as an antipsychotic agent and as an antiemetic.

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 psychotropic drugs, not elsewhere classified (T43). Use the following options for the aplicable episode of care:

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

Convert T43.3X4A to ICD-9-CM

  • ICD-9-CM Code: 969.1 - Pois-phenothiazine tranq
    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: E980.3 - Undeterm pois-psychotrop
    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 T43.3X4 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
AcepromazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
AcetophenazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
AlimemazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
ButaperazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
CarfenazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
CarphenazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
ChlorpromazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
CompazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
CyamemazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
DimetotiazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
DioxopromethazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
DixyrazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
FentazinT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
FluopromazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
FluphenazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
IsopromethazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
LargactilT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
LevomepromazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
LevopromazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
MellarilT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
MepazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
MequitazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
MesoridazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
MethdilazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
MethopromazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
MethotrimeprazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
MethoxypromazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
MetofenazateT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
OxomemazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
PecazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
PerazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
PericiazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
PerphenazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
Phenothiazine (psychotropic) NECT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
Phenothiazine (psychotropic) NEC
  »insecticide
T43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
PiperacetazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
PipotiazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
PlegicilT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
ProchlorperazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
PromazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
Promethazine (teoclate)T43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
Propylaminopheno-thiazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
SparineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
StelazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
StemetilT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
SulforidazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
Thiazinamium metilsulfateT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
ThiethylperazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
ThiopropazateT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
ThioproperazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
ThioridazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
ThorazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
TindalT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
TrifluoperazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6
TriflupromazineT43.3X1T43.3X2T43.3X3T43.3X4T43.3X5T43.3X6

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.