ICD-10-CM 2027 diagnosis code
T40.42Poisoning by, adverse effect of and underdosing of tramadol
T40.42 is a header code, so it can't be reported by itself. Choose one of the 6 more specific codes beneath it and add the required 7th character.
Code last changed in FY2021 (effective October 1, 2020). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About T40.42
T40.42 is the ICD-10-CM diagnosis code for poisoning by, adverse effect of and underdosing of tramadol. It belongs to category T40 (poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens]), block T36-T50 (poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is a header code, so it can't be reported by itself; one of its 6 subcodes must be used instead.
Within T40.4 (poisoning by, adverse effect of and underdosing of other synthetic narcotics), T40.42 is specifically for poisoning by, adverse effect of and underdosing of tramadol. Related codes cover fentanyl or fentanyl analogs (T40.41) and other synthetic narcotics (T40.49).
Codes in this range require a 7th character: A for initial encounter, D for subsequent encounter and S for sequela. Use placeholder "X" characters to fill any empty positions before the 7th character.
It was added in FY2021, effective October 1, 2020.
7th character
The appropriate 7th character is to be added to each code from category T40
- T40.421Poisoning by tramadol, accidental (unintentional)
- T40.422Poisoning by tramadol, intentional self-harm
- T40.423Poisoning by tramadol, assault
- T40.424Poisoning by tramadol, undetermined
- T40.425Adverse effect of tramadol
- T40.426Underdosing of tramadol
- Ainitial encounter
- Dsubsequent encounter
- Ssequela
Notes that apply from higher levels
Instructions written at a parent level also apply to T40.42.
Broader instructions also apply from T36-T50 Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances and Chapter 19: Injury, poisoning and certain other consequences of external causes.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2021 (effective 10/1/2020): Added
- No changes since FY2021.
Common questions about T40.42
Is T40.42 billable?
- No. T40.42 is a header code. Report one of its more specific subcodes instead.