TCA (Tricyclic): Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
← Older edit
Mschaffer (talk | contribs)
CCMDB_legit
34 edits
No edit summary
m Text replacement - "Poisoning (old)" to "Poisoning"
 
(12 intermediate revisions by 3 users not shown)
Line 1: Line 1:
{{DX tag | Poisoning | | TCA (Tricyclic) | TCA (TRICYCLIC) | 45000 | No | 0 |  |  |  | }}
{{PreICD10 dx | NewDxArticle = Tricyclic antidepressant, overdose/toxicity}}
{{PreICD10 dx | NewDxArticle = Tricyclic antidepressant, adverse effect}}
 
{{DX tag | Poisoning| Medical Problem | TCA (Tricyclic) | TCA (TRICYCLIC) | 45000 | No | 0 |  |  |  | }}
 
https://en.wikipedia.org/wiki/Tricyclic_antidepressant
https://en.wikipedia.org/wiki/Tricyclic_antidepressant


== Discussion about code change ==
== Do '''not''' use for serotonin syndrome unless due to poisoning ==
{{discussion}}
We don't have a code for [https://en.wikipedia.org/wiki/Serotonin_syndrome Serotonin Syndrome].
*Tricyclic antidepressants have been mostly replaced by newer antidepressants such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs) and norepinephrine reuptake inhibitors (NRIs). They occasionally use tricyclics if other meds are not working but this is rare.   
 
*If a patient overdoses on an antidepressant we do not have a specific code for this.  While we can use the "other" code, I think it would be of more value to put a general antidepressant overdose code and maybe take out the tricyclic one.  (in the poisoning section). 
Do not use the TCA (Tricyclic) Poisoningcode for Serotonin Syndrome indiscriminately because it can have other causes and symptoms. If TCA (Tricyclic) Poisoning is a factor in a case of Serotonin Syndrome, of course code it.
--[[User:LKolesar|LKolesar]] 13:17, 2016 August 17 (CDT)
 
**46300 ([[Sedatives/Antidepressants]]) used to be the code for sedatives/antidepressants. That's the one I used for antidepressants,however I see on are laptop it is shortened to just sedatives. I'm not sure that the code got changed or that when it was programmed on the laptop the antidepressant part got left out[[User:GHall|GHall]] 09:44, 2016 August 22 (CDT)
== Keeping Tricyclic code for now ==
**Would we use this code for serotonin syndrome? I have had a few patients who were diagnosed with serotonin syndrome due to accident overdose of SSRIs (i.e. use the sedative/antidepressant code for serotonin syndrome)[[User:Mschaffer|Mschaffer]] 13:54, 2016 August 22 (CDT)
* Tricyclic antidepressants have been mostly replaced by newer antidepressants such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs) and norepinephrine reuptake inhibitors (NRIs). They occasionally use tricyclics if other meds are not working.
*** Changed wording in CCMDB for next version. Thanks for bringing it up and providing a solution, GO TEAM! This discussion can be deleted after 2016-08-29. Ttenbergen 11:55, 2016 August 22 (CDT)

Latest revision as of 15:09, 31 December 2018



Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Tricyclic antidepressant, adverse effect, Tricyclic antidepressant, overdose/toxicity

Click Expand to show legacy content.

https://en.wikipedia.org/wiki/Tricyclic_antidepressant

Do not use for serotonin syndrome unless due to poisoning

We don't have a code for Serotonin Syndrome.

Do not use the TCA (Tricyclic) Poisoningcode for Serotonin Syndrome indiscriminately because it can have other causes and symptoms. If TCA (Tricyclic) Poisoning is a factor in a case of Serotonin Syndrome, of course code it.

Keeping Tricyclic code for now

  • Tricyclic antidepressants have been mostly replaced by newer antidepressants such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs) and norepinephrine reuptake inhibitors (NRIs). They occasionally use tricyclics if other meds are not working.
Retrieved from "https://ccmdb.kuality.ca/index.php?title=TCA_(Tricyclic)&oldid=132488"