T42.6X2D — Poisoning by other antiepileptic and sedative-hypnotic drugs, intentional self-harm, subsequent encounter
Is T42.6X2D billable?
Yes — T42.6X2D is billable for FY2027. T42.6X2D is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T42.6X2D may be submitted for encounters from October 1, 2026 through September 30, 2027.
T42.6X2D at a glance
| Code | T42.6X2D |
|---|---|
| Description | Poisoning by other antiepileptic and sedative-hypnotic drugs, intentional self-harm, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in T42.6X2D?
In T42.6X2D, the 7th character D means subsequent encounter. The 7th character is required for T42.6X2D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T42.6X2D group to?
T42.6X2D sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 949Aftercare with CC/MCCmedical
- 950Aftercare without CC/MCCmedical
Excludes1 — never code together — inherited from T36-T50
The conditions below can never be reported together with T42.6X2D on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- toxic reaction to local anesthesia in pregnancy (O29.3-)
Excludes1 — never code together — inherited from T42.6
The conditions below can never be reported together with T42.6X2D on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- poisoning by, adverse effect of and underdosing of carbamazepine (T42.1-)
Code first — inherited from T36-T50
The underlying condition below must be sequenced before T42.6X2D. T42.6X2D describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T42.6X2D to fully describe the condition. T42.6X2D is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from T36-T50
Report an additional code alongside T42.6X2D to fully describe the condition. T42.6X2D is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T42.6X2D, but a patient may have both at the same time. When documentation supports it, T42.6X2D and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T42.6X2D, but a patient may have both at the same time. When documentation supports it, T42.6X2D and the excluded code may both be reported.
Excludes2 — not included here — inherited from T42
The conditions below are not part of T42.6X2D, but a patient may have both at the same time. When documentation supports it, T42.6X2D and the excluded code may both be reported.
- drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.--F19.-)
How long has T42.6X2D existed?
T42.6X2D has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.