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T43.203 vs T43.204

T43.203 (Poisoning by unspecified antidepressants, assault) compared with T43.204 (Poisoning by unspecified antidepressants, undetermined), from the official CMS tabular data. T43.203 and T43.204 code the same substance (Antidepressant) with a different intent. MedCoder-derived

Relationship

Informational

Drug table relationship

T43.203
Poisoning by unspecified antidepressants, assault
T43.204
Poisoning by unspecified antidepressants, undetermined

Same substance, different circumstance of exposure.

Same substance — undetermined intent (Antidepressant)

Accidental poisoning, intentional self-harm, assault, undetermined intent, adverse effect and underdosing are mutually exclusive columns — exactly one applies to a given encounter.

Source: CMS Table of Drugs and Chemicals

Can these codes be reported together?

Same substance, different intent. T43.203 and T43.204 code the same substance (Antidepressant) with a different circumstance of exposure.

From the CMS/CDC Table of Drugs and Chemicals: accidental poisoning, intentional self-harm, assault, undetermined intent, adverse effect and underdosing are mutually exclusive columns — only one of them applies to a given encounter.

Side by side

T43.203Poisoning by unspecified antidepressants, assaultT43.204Poisoning by unspecified antidepressants, undetermined
Billing statusNon-billable header

Report instead: T43.203A, T43.203D, T43.203S

Non-billable header

Report instead: T43.204A, T43.204D, T43.204S

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionPoisoning by unspecified antidepressants, assault is a non-billable ICD-10-CM category code (T43.203).Poisoning by unspecified antidepressants, undetermined is a non-billable ICD-10-CM category code (T43.204).
7th characterThe appropriate 7th character is to be added to each code from category T43The appropriate 7th character is to be added to each code from category T43
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
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
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)
code(s) to specify:
manifestations of poisoning
underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
Code first
, for adverse effects, the nature of the adverse effect, such as:
adverse effect NOS (T88.7)
, for adverse effects, the nature of the adverse effect, such as:
adverse effect NOS (T88.7)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources