Opioid/narcotic, adverse effect: Difference between revisions
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{{ICD10 category| | {{ICD10 category|Iatrogenic}}{{ICD10 category|opioid related}}{{ICD10 category|Allergy}}{{ICD10 category|Adverse effect}}{{ICD10 category|Neuro}} {{ICD10 category|Respiratory}} | ||
== Additional Info == | |||
Excludes: | |||
* [[Opioid/narcotic, overdose/toxicity]] | |||
Includes: | |||
* heroin | |||
* fentanyl | |||
* methadone | |||
* opioid induced hyperalgesia | |||
Use this code for if: | |||
* patient had opioids, and '''it was not an [[Opioid/narcotic, overdose/toxicity]]''' | |||
* patient gets confused / delirious | |||
* patient experiences somnolence / stupor / obtundation altered LOC / decreased LOC | |||
Possible scenarios: | |||
* could be post narcotic / post procedure | |||
* could patient takes meds as ordered at home but develops decreased LOC or other side effect | |||
* | |||
{{ | {{ICD10 Guideline adverse effect}} | ||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Adverse effect}} | |||
{{ListICD10Category | categoryName = opioid related}} | {{ListICD10Category | categoryName = opioid related}} | ||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
* [[Anaphylactic reaction (anaphylaxis)]] | |||
* [[ Allergic reaction (allergy), NOS]] | |||
* [[Skin rash, drug-induced (drug eruption)]] | |||
* [[ Somnolence, stupor or obtundation]] | |||
*[[ Respiratory failure (insufficiency) NOS, acute]] | |||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||
Latest revision as of 07:50, 4 August 2023
| ICD10 Diagnosis | |
| Dx: | Opioid/narcotic, adverse effect |
| ICD10 code: | Y45.0 |
| Pre-ICD10 counterpart: | P-Op Resp Failure |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Excludes:
Includes:
- heroin
- fentanyl
- methadone
- opioid induced hyperalgesia
Use this code for if:
- patient had opioids, and it was not an Opioid/narcotic, overdose/toxicity
- patient gets confused / delirious
- patient experiences somnolence / stupor / obtundation altered LOC / decreased LOC
Possible scenarios:
- could be post narcotic / post procedure
- could patient takes meds as ordered at home but develops decreased LOC or other side effect
Adverse effect codes
- This information pertains to the following codes:
- It refers to pharmaceuticals and other biological substances
- Do not confuse this group of codes with Template:ICD10 Guideline overdose or Template:ICD10 Guideline poisoning by non-pharmaceuticals
- The definition of this category requires that both of the following be true: (1) something bad happened as a direct result of the agent AND (2) the agent was used with an appropriate dosing regimen.
- The “something bad” can be a threat to life/limb/organ function -- but what distinguishes this category from Category:Overdose is whether the dose/dosing regimen was appropriate or not.
- These adverse effects are almost all immune-mediated and include: allergic reactions, hypersensitivity reactions, more vaguely defined “adverse drug reactions”
- examples: drug rash; anaphylactic reaction; drug fever
- exception: bleeding on coumadin at an appropriate dose is NOT coded here, but as Hemorrhage, due to anticoagulant or thrombolytic drug
- In addition to a number of codes for specific agents (e.g. insulin), or classes of agents (e.g. beta-blockers) there are several levels of “wastebasket” codes -- the final, all-encompassing wastebasket here is Drug or biological substance/agent NOS, adverse effect
- For bad outcomes caused by overdoses, in most cases a counterpart dx will exits in:
See ICD10 Guideline for drugs and substances for more info on coding substance related ICD10 diagnoses.
Alternate ICD10s to consider coding instead or in addition
| opioid related codes: |
Candidate Combined ICD10 codes
- Anaphylactic reaction (anaphylaxis)
- Allergic reaction (allergy), NOS
- Skin rash, drug-induced (drug eruption)
- Somnolence, stupor or obtundation
- Respiratory failure (insufficiency) NOS, acute
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
Show all ICD10 Subcategories