Hypoglycemics (oral or insulin): Difference between revisions

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when would this still be used, then?
m Text replacement - "Poisoning (old)" to "Poisoning"
 
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{{DX tag | Poisoning | [[:Category: Medical Problem | Medical Problem]]  | Hypoglycemics (oral or insulin) | HYPOGLYCEMICS (oral or insulin) | [[46100 - Hypoglycemics (oral or insulin)]] | No | 0 | CC & Med | Currently Collected |  | }}
{{PreICD10 dx | NewDxArticle = Insulin or other antidiabetes drug, overdose/toxicity }}


{{discussion}}
{{DX tag | Poisoning| Medical Problem | 46100 - Hypoglycemics (oral or insulin) |
Con pointed out that there are inconsistent coding practices re. the use of this dx and [[Insulin Shock]]. Con/Trish, could you explain and remind me where we left off? Ttenbergen 15:34, 2015 July 9 (CDT)
*46101 - HYPOGLYCEMICS (oral or insulin)-intentional
*Dr Garland felt that under poisoning, accidental or toxicity should not be used. We should be using [[Insulin Shock]].--[[User:CMarks|CMarks]] 07:41, 2015 July 13 (CDT)
*46102 - HYPOGLYCEMICS (oral or insulin)-accidental
** During that meeting I tried to find out if we would then _ever_ code "Hypoglycemics (oral or insulin)". The answer seemed to be yes, but I could not figure out under which circumstances it would be coded. Could you give an example, please? Ttenbergen 11:05, 2015 July 13 (CDT) {{discussion}}
*46103 - HYPOGLYCEMICS (oral or insulin)-iatrogenic
| Yes | No | 0 | CC & Med | Currently Collected |  | }}
 
Poisoningwith hypoglycemics such as insulin, metformin, etc.
 
=== vs [[Insulin Shock]] Dx ===
Insulin shock can be used if patient goes into insulin shock however, in terms of too much MED,  we also want to try and discern if a problem occurred because too much insulin/metformin was intentional, accidental OR iatrogenic.
 
If the right/normal amount of medication was taken and then the pt could not eat, don't code this poisoning code, just code [[Insulin Shock]].
 
===Hypoglycemics (oral or insulin) - HYPOGLYCEMICS (oral or insulin) - 46100 ===
 
===Hypoglycemics (oral or insulin) - Intentional - 46101 ===
e.g. suicide attempt
 
===Hypoglycemics (oral or insulin) - Accidental/toxicity - 46102 ===
Patient "accidentally"  took to much oral med or insulin.
 
===Hypoglycemics (oral or insulin) - Iatrogenic - 46103 ===
when patient is inadvertently given too much Insulin by a health care provider.
 
[[Category: Hypoglycemia]]

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:Insulin or other antidiabetes drug, overdose/toxicity

Click Expand to show legacy content.

Poisoningwith hypoglycemics such as insulin, metformin, etc.

vs Insulin Shock Dx

Insulin shock can be used if patient goes into insulin shock however, in terms of too much MED, we also want to try and discern if a problem occurred because too much insulin/metformin was intentional, accidental OR iatrogenic.

If the right/normal amount of medication was taken and then the pt could not eat, don't code this poisoning code, just code Insulin Shock.

Hypoglycemics (oral or insulin) - HYPOGLYCEMICS (oral or insulin) - 46100

Hypoglycemics (oral or insulin) - Intentional - 46101

e.g. suicide attempt

Hypoglycemics (oral or insulin) - Accidental/toxicity - 46102

Patient "accidentally" took to much oral med or insulin.

Hypoglycemics (oral or insulin) - Iatrogenic - 46103

when patient is inadvertently given too much Insulin by a health care provider.

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