Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesPoisoning by, adverse effects of and underdosing of drugs, medicaments and biological substancesICD-10-CM t42-antiepileptic-sedative-hypnotic-antiparkinsonism-drugs
    Ask Trek AI about this page

    ICD-10-CM Code For Poisoning By Antiepileptic Sedative Hypnotic And Antiparkinsonism Drugs: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group T42 includes diagnoses for poisoning by, adverse effects of, and underdosing of antiepileptic, sedative-hypnotic, and antiparkinsonism drugs, covering overdose, toxic effects, medication side effects, and subtherapeutic dosing. These ICD-10-CM diagnosis codes are used to document clinical encounters involving medication-related toxicity, adverse drug reactions, and complications from insufficient dosing that affect neurological and systemic function. Accurate coding within the ICD-10-CM T42 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Poisoning By Antiepileptic Sedative Hypnotic And Antiparkinsonism Drugs: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM T42: Poisoning By, Adverse Effect Of And Underdosing Of Antiepileptic, Sedative- Hypnotic And Antiparkinsonism Drugs Overview

    This group represents poisoning, adverse effects, and underdosing related to antiepileptic, sedative-hypnotic, and antiparkinsonism medications that affect the nervous system and central nervous system function. These codes capture incidents from accidental or intentional overdose to adverse reactions and insufficient dosing leading to clinical consequences. Accurate coding is important for complete clinical documentation and appropriate reimbursement for services tied to medication-related events.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when a clinical encounter documents medication-related toxicity, adverse reactions, or complications due to insufficient dosing of antiepileptic, sedative-hypnotic, or antiparkinsonism drugs. Select the code that reflects whether the event is poisoning, an adverse effect, or underdosing and include any external cause or intent as appropriate.

    ICD-10-CM Codes

    162 rows

    ICD-10-CM CodeDescription
    T42.0X1APoisoning by hydantoin derivatives, accidental (unintentional), initial encounter
    T42.0X1DPoisoning by hydantoin derivatives, accidental (unintentional), subsequent encounter
    T42.0X1SPoisoning by hydantoin derivatives, accidental (unintentional), sequela
    T42.0X2APoisoning by hydantoin derivatives, intentional self-harm, initial encounter
    T42.0X2DPoisoning by hydantoin derivatives, intentional self-harm, subsequent encounter
    T42.0X2SPoisoning by hydantoin derivatives, intentional self-harm, sequela
    T42.0X3APoisoning by hydantoin derivatives, assault, initial encounter
    T42.0X3DPoisoning by hydantoin derivatives, assault, subsequent encounter
    T42.0X3SPoisoning by hydantoin derivatives, assault, sequela
    T42.0X4APoisoning by hydantoin derivatives, undetermined, initial encounter
    T42.0X4DPoisoning by hydantoin derivatives, undetermined, subsequent encounter
    T42.0X4SPoisoning by hydantoin derivatives, undetermined, sequela
    T42.0X5AAdverse effect of hydantoin derivatives, initial encounter
    T42.0X5DAdverse effect of hydantoin derivatives, subsequent encounter
    T42.0X5SAdverse effect of hydantoin derivatives, sequela
    T42.0X6AUnderdosing of hydantoin derivatives, initial encounter
    T42.0X6DUnderdosing of hydantoin derivatives, subsequent encounter
    T42.0X6SUnderdosing of hydantoin derivatives, sequela
    T42.1X1APoisoning by iminostilbenes, accidental (unintentional), initial encounter
    T42.1X1DPoisoning by iminostilbenes, accidental (unintentional), subsequent encounter

    Showing 1–20 of 162

    • More pages

    DRG Codes

    9 rows

    DRG CodeDescription
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems
    917Poisoning and Toxic Effects of Drugs with MCC
    918Poisoning and Toxic Effects of Drugs without MCC
    922Other Injury, Poisoning and Toxic Effect Diagnoses with MCC
    923Other Injury, Poisoning and Toxic Effect Diagnoses without MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC
    951Other Factors Influencing Health Status

    Typical Clinical Scenarios

    • An adult patient is brought to the emergency department after being found confused, somnolent, and with shallow respirations following an intentional overdose of their prescribed benzodiazepine for anxiety. Emergency staff document acute central nervous system depression requiring airway support and naloxone is ineffective; toxicology confirms high plasma levels of a benzodiazepine. A poisoning/overdose code from this group is assigned to capture the acute toxic effect of a sedative-hypnotic agent. Typical codes: T42.4X1A, T42.4X4A
    • An elderly patient with Parkinson disease presents to clinic with worsening tremor and rigidity after accidentally taking less than the prescribed dose of their antiparkinsonism medication for several days due to running out of medication. The clinician documents underdosing resulting in exacerbation of Parkinsonian symptoms and adjusts the outpatient regimen; an underdosing code is used to reflect therapeutic failure from insufficient medication intake. Typical codes: T42.3X6D, T42.1X6D
    • A middle-aged patient with epilepsy is admitted with new-onset generalized tonic-clonic seizures after abrupt discontinuation of their antiepileptic medication because of gastrointestinal side effects; workup excludes structural causes and the chart documents withdrawal-provoked seizures as a complication of medication adverse effects and nonadherence. A code from this group is assigned to indicate an adverse effect/withdrawal-related complication of an antiepileptic drug. Typical codes: T42.0X4D, T42.2X4D

    Related Codes

    T36-POISONING-BY-SYSTEMIC-ANTIBIOTICS

    ICD-10-CM Code For Poisoning By, Adverse Effect Of And Underdosing Of Systemic Antibiotics: Group Overview

    T37-OTHER-SYSTEMIC-ANTI-INFECTIVES

    ICD-10-CM Code For Poisoning By Other Systemic Anti Infectives And Antiparasitics: Group Overview

    T38-HORMONE-POISONING-AND-UNDERDOSING

    ICD-10-CM Code For Poisoning By Adverse Effect And Underdosing Of Hormones And Their Synthetic Substitutes And Antagonists Not Elsewhere Classified: Group Overview

    T39-NONOPIOID-ANALGESIC-POISONING

    ICD-10-CM Code For Poisoning By Nonopioid Analgesics Antipyretics And Antirheumatics: Group Overview

    T40-POISONING-BY-NARCOTICS-AND-HALLUCINOGENS

    ICD-10-CM Code For Poisoning By Narcotics And Psychodysleptics: Group Overview

    T41-ANESTHETICS-AND-THERAPEUTIC-GASES

    ICD-10-CM Code For Poisoning By Adverse Effect Of And Underdosing Of Anesthetics And Therapeutic Gases: Group Overview

    T43-POISONING-AND-ADVERSE-EFFECTS-PSYCHOTROPIC

    ICD-10-CM Code For Poisoning By Adverse Effect Of And Underdosing Of Psychotropic Drugs Not Elsewhere Classified: Group Overview

    T44-AUTONOMIC-NERVOUS-SYSTEM-DRUG-EVENTS

    ICD-10-CM Code For Poisoning By Adverse Effect Of And Underdosing Of Drugs Primarily Affecting The Autonomic Nervous System: Group Overview

    T45-PRIMARILY-SYSTEMIC-AND-HEMATOLOGICAL-AGENTS

    ICD-10-CM Code For Poisoning By Adverse Effect And Underdosing Of Primarily Systemic And Hematological Agents Not Elsewhere Classified: Group Overview

    T46-POISONING-CARDIOVASCULAR-AGENTS

    ICD-10-CM Code For Poisoning By Adverse Effect Of And Underdosing Of Agents Primarily Affecting The Cardiovascular System: Group Overview

    Showing 1–10 of 14

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.