T43.01 — Poisoning by, adverse effect of and underdosing of tricyclic antidepressants
Is T43.01 billable?
No — T43.01 is a non-billable header code. T43.01 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 18 billable codes beneath T43.01.
Billable codes under this header
- T43.011APoisoning by tricyclic antidepressants, accidental (unintentional), initial encounter
- T43.011DPoisoning by tricyclic antidepressants, accidental (unintentional), subsequent encounter
- T43.011SPoisoning by tricyclic antidepressants, accidental (unintentional), sequela
- T43.012APoisoning by tricyclic antidepressants, intentional self-harm, initial encounter
- T43.012DPoisoning by tricyclic antidepressants, intentional self-harm, subsequent encounter
- T43.012SPoisoning by tricyclic antidepressants, intentional self-harm, sequela
- T43.013APoisoning by tricyclic antidepressants, assault, initial encounter
- T43.013DPoisoning by tricyclic antidepressants, assault, subsequent encounter
- T43.013SPoisoning by tricyclic antidepressants, assault, sequela
- T43.014APoisoning by tricyclic antidepressants, undetermined, initial encounter
- T43.014DPoisoning by tricyclic antidepressants, undetermined, subsequent encounter
- T43.014SPoisoning by tricyclic antidepressants, undetermined, sequela
- T43.015AAdverse effect of tricyclic antidepressants, initial encounter
- T43.015DAdverse effect of tricyclic antidepressants, subsequent encounter
- T43.015SAdverse effect of tricyclic antidepressants, sequela
- T43.016AUnderdosing of tricyclic antidepressants, initial encounter
- T43.016DUnderdosing of tricyclic antidepressants, subsequent encounter
- T43.016SUnderdosing of tricyclic antidepressants, sequela
T43.01 at a glance
| Code | T43.01 |
|---|---|
| Description | Poisoning by, adverse effect of and underdosing of tricyclic antidepressants |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from T36-T50
The conditions below can never be reported together with T43.01 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-)
Code first — inherited from T36-T50
The underlying condition below must be sequenced before T43.01. T43.01 describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T43.01 to fully describe the condition. T43.01 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 T43.01 to fully describe the condition. T43.01 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T43.01, but a patient may have both at the same time. When documentation supports it, T43.01 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T43.01, but a patient may have both at the same time. When documentation supports it, T43.01 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T43
The conditions below are not part of T43.01, but a patient may have both at the same time. When documentation supports it, T43.01 and the excluded code may both be reported.
What codes fall under T43.01? (6)
- T43.011Poisoning by tricyclic antidepressants, accidental (unintentional)not billable
- T43.012Poisoning by tricyclic antidepressants, intentional self-harmnot billable
- T43.013Poisoning by tricyclic antidepressants, assaultnot billable
- T43.014Poisoning by tricyclic antidepressants, undeterminednot billable
- T43.015Adverse effect of tricyclic antidepressantsnot billable
- T43.016Underdosing of tricyclic antidepressantsnot billable
How long has T43.01 existed?
T43.01 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.