Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect: Difference between revisions

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== Additional Info ==
== Additional Info ==
*This Includes:udes side effects such as nausea/vomiting.
'''Includes:'''
**Use [[Drug or biological substance/agent NOS, overdose/poisoning]] for overdoses of cancer drugs, we did not Includes:ude a specific code for this in our version of ICD10.
* Antirejection drugs
{{ICD10 Guideline drugs and substances}}
* Side effects such as nausea/vomiting
* Differentiation syndrome- Differentiation syndrome is a group of severe reactions to drugs used to treat acute myeloid leukemia (AML) and acute promyelocytic leukemia (APL), both of which are a type of leukemia, or blood cancer.  If it is thought to be in part because of an immune system disorder, link that with it.
 
 
{{List of immunosuppressive drugs}}
{{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 = Adverse effect}}
* [[Drug or biological substance/agent NOS, overdose/poisoning]]
{{ListICD10Category | categoryName = Overdose}}
* [[Tumor lysis syndrome]]
* [[Tumor lysis syndrome]]
* [[Anaphylactic reaction (anaphylaxis)]]
* [[Anaphylactic reaction (anaphylaxis)]]
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== Related CCI Codes ==
== Related CCI Codes ==
{{Data Integrity Check List}}


== Related Articles ==
== Related Articles ==
{{Related Articles}}
{{Related Articles}}


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{{ICD10 footer}}
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Latest revision as of 13:27, 15 March 2023

ICD10 Diagnosis
Dx: Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect
ICD10 code: Y43.3
Pre-ICD10 counterpart: none assigned
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.

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    • 2019-01-01
    • 2999-12-31
    • Y43.3
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Additional Info

Includes:

  • Antirejection drugs
  • Side effects such as nausea/vomiting
  • Differentiation syndrome- Differentiation syndrome is a group of severe reactions to drugs used to treat acute myeloid leukemia (AML) and acute promyelocytic leukemia (APL), both of which are a type of leukemia, or blood cancer. If it is thought to be in part because of an immune system disorder, link that with it.


List of immunosuppressive drugs   
  • Used to treat an increasing variety of conditions: immune-mediated (RA, UC, Crohn's, lupus, MS, psoriasis, etc); after organ transplant.
  • Only considered immunosuppressive if given systemically (po, im or iv)
  • Corticosteroids (unlike all the others, these only count if > a given daily dose and used for at least 2 weeks prior to admission)
    • Dexamethasone: >0.25 mg/day
    • Hydrocortisone: >40 mg/day
    • Prednisone (methyl-prednisolone): >10 mg/day
    • Prednisolone: >8 mg/day
  • Cancer chemotherapy -- includes any agents, if received within the past 6 months
  • Nonsteroidal immunosuppressives -- includes any of these, if received within the past 1 month
    • Abatacept (Orencia)
    • Azathioprine (Imuran)
    • Adalimumab (Humira)
    • Anakinra (Kineret)
    • Basiliximab (Simulect)
    • Certolizumab (Cimzia)
    • Cyclophosphamide (Cytoxan)
    • Cyclosporine
    • Daclizumab (Zinbryta)
    • Etanercept (Enbrel)
    • Everolimus (Afinitor, Zortress)
    • Golimumag (Simponi)
    • Infliximab (Remicade)
    • Ixekizumab (Taltz)
    • Leflunomide (Arava)
    • Lenalidomide
    • Methotrexate
    • Mycophenolate (CellCept)
    • Natalizumab (Tysabri)
    • Rituximab (Rituxan)
    • Secukinumab (Cosentyx)
    • Sirolimus (Rapasumne)
    • Tacrolimus (Prograf)
    • Tocilizumab (Actemra)
    • Tofacitinib (Xeljanz)
    • Ustekinumab (Stelara)
    • Vedolizumab (Entyvio)

Do not include

  • hydroxychloroquine - as per task meeting 2022-04-20 it is an immune modulator, but not very immunosuppressive

Adverse effect codes

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  • This information pertains to the following codes:
Adverse effect 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”
  • 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:
Overdose codes:

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

Adverse effect codes:
Overdose codes:

Data Integrity Checks (automatic list)

none found

Related articles:


Show all ICD10 Subcategories

ICD10 Categories: