{"code":"T43.604D","type":"code","title":"Poisoning by unspecified psychostimulants, undetermined, subsequent encounter","codeAlso":[],"includes":["adverse effect of correct substance properly administered","poisoning by overdose of substance","poisoning by wrong substance given or taken in error","underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed"],"modern_v":"official26","codeFirst":[", for adverse effects, the nature of the adverse effect, such as:","adverse effect NOS (T88.7)","aspirin gastritis (K29.-)","blood disorders (D56-D76)","contact dermatitis (L23-L25)","dermatitis due to substances taken internally (L27.-)","nephropathy (N14.0-N14.2)"],"excludes1":["poisoning by, adverse effect of and underdosing of cocaine (T40.5-)","toxic reaction to local anesthesia in pregnancy (O29.3-)"],"excludes2":["appetite depressants (T50.5-)","barbiturates (T42.3-)","benzodiazepines (T42.4-)","drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.- -F19.-)","methaqualone (T42.6-)","psychodysleptics [hallucinogens] (T40.7-T40.9-)","abuse and dependence of psychoactive substances (F10-F19)","abuse of non-dependence-producing substances (F55.-)","immunodeficiency due to drugs (D84.821)","drug reaction and poisoning affecting newborn (P00-P96)","pathological drug intoxication (inebriation) (F10-F19)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"inclusionTerms":[],"useAdditionalCode":["code(s) to specify:","manifestations of poisoning","underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)","underdosing of medication regimen (Z91.12-, Z91.13-)"],"clinicalDefinition":"Poisoning by unspecified psychostimulants, undetermined, subsequent encounter is a billable ICD-10-CM diagnosis code (T43.604D). Includes: adverse effect of correct substance properly administered; poisoning by overdose of substance; poisoning by wrong substance given or taken in error; underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed. Excludes1 (not coded here): poisoning by, adverse effect of and underdosing of cocaine (T40.","officialDefinition":"Poisoning by unspecified psychostimulants, undetermined, subsequent encounter is a billable ICD-10-CM diagnosis code (T43.604D). Includes: adverse effect of correct substance properly administered; poisoning by overdose of substance; poisoning by wrong substance given or taken in error; underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed. Excludes1 (not coded here): poisoning by, adverse effect of and underdosing of cocaine (T40.5-); toxic reaction to local anesthesia in pregnancy (O29.3-). Excludes2 (not included here): appetite depressants (T50.5-); barbiturates (T42.3-); benzodiazepines (T42.4-); drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.- -F19.-); methaqualone (T42.6-); psychodysleptics [hallucinogens] (T40.7-T40.9-); abuse and dependence of psychoactive substances (F10-F19); abuse of non-dependence-producing substances (F55.-); immunodeficiency due to drugs (D84.821); drug reaction and poisoning affecting newborn (P00-P96); pathological drug intoxication (inebriation) (F10-F19). Code first: , for adverse effects, the nature of the adverse effect, such as:; adverse effect NOS (T88.7); aspirin gastritis (K29.-); blood disorders (D56-D76); contact dermatitis (L23-L25); dermatitis due to substances taken internally (L27.-); nephropathy (N14.0-N14.2). Use additional code: code(s) to specify:; manifestations of poisoning; underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9); underdosing of medication regimen (Z91.12-, Z91.13-). 7th character: The appropriate 7th character is to be added to each code from category T43.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category T43"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"toxic reaction to local anesthesia in pregnancy (O29.3-)":"T43","appetite depressants (T50.5-)":"T43","barbiturates (T42.3-)":"T43","benzodiazepines (T42.4-)":"T43","drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.- -F19.-)":"T43","methaqualone (T42.6-)":"T43","psychodysleptics [hallucinogens] (T40.7-T40.9-)":"T43","abuse and dependence of psychoactive substances (F10-F19)":"T43","abuse of non-dependence-producing substances (F55.-)":"T43","immunodeficiency due to drugs (D84.821)":"T43","drug reaction and poisoning affecting newborn (P00-P96)":"T43","pathological drug intoxication (inebriation) (F10-F19)":"T43",", for adverse effects, the nature of the adverse effect, such as:":"T43","adverse effect NOS (T88.7)":"T43","aspirin gastritis (K29.-)":"T43","blood disorders (D56-D76)":"T43","contact dermatitis (L23-L25)":"T43","dermatitis due to substances taken internally (L27.-)":"T43","nephropathy (N14.0-N14.2)":"T43","code(s) to specify:":"T43","manifestations of poisoning":"T43","underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)":"T43","underdosing of medication regimen (Z91.12-, Z91.13-)":"T43","adverse effect of correct substance properly administered":"T43","poisoning by overdose of substance":"T43","poisoning by wrong substance given or taken in error":"T43","underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed":"T43","poisoning by, adverse effect of and underdosing of cocaine (T40.5-)":"T43.6"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}