Neuromuscular blocker/paralytic, adverse effect: Difference between revisions

Latest revision as of 07:24, 14 August 2024

ICD10 Diagnosis
Dx:	Neuromuscular blocker/paralytic, adverse effect
ICD10 code:	Y55.1
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	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

Includes

epidural bupivicaine
succinylcholine
rocuronium
Baclofen- classified as an antispasticity agent that acts centrally by enhancing the effect of GABA in the CNS

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”
- 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:

Overdose codes:

See ICD10 Guideline for drugs and substances for more info on coding substance related ICD10 diagnoses.

Adverse effect codes:

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+| CurrentStatus = reconciled
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 == Additional Info ==
-{{ICD10 Guideline drugs and substances}}
+'''Includes'''
+*epidural bupivicaine
+*succinylcholine
+*rocuronium
+* Baclofen- classified as an antispasticity agent that acts centrally by enhancing the effect of GABA in the CNS
+{{ICD10 Guideline adverse effect}}
 == Alternate ICD10s to consider coding instead or in addition ==
-{{ListICD10Category | categoryName = Overdose}}
+* [[Neuromuscular blocker/paralytic, overdose/toxicity]]
+{{ListICD10Category | categoryName = Adverse effect}}
-{{Discuss | who = Allan | question =
-*What would {sc:overdose/poisoning} be, [[Drug or biological substance/agent NOS, overdose/poisoning]]? }}
 * [[Anaphylactic reaction (anaphylaxis)]]
 == Candidate [[Combined ICD10 codes]] ==
+* [[Anaphylactic reaction (anaphylaxis)]]
+* [[ Allergic reaction (allergy), NOS]]
+* [[Skin rash, drug-induced (drug eruption)]]
 == Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
 {{ICD10 footer}}
 {{EndPlaceHolder}}

Skin	Trauma	Renal/urinary	Infectious disease
ENT	Testing	Cardiovascular	Hereditary/congenital
Eye	Mechanism	Neoplastic	Heme/immunology
Misc	Reproductive	Gastrointestinal	Musculoskeletal/soft tissue
Psych	Respiratory	Poisoning
Neuro	Symptom/Sign	Endocrine disorder