Insulin or antidiabetic drug, adverse effect: Difference between revisions
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== Additional Info == | == Additional Info == | ||
'''Excludes: ''' | |||
*This does NOT include simple hypoglycemia in a diabetic who took her/her USUAL dosage of diabetes drug (as might occur if the person stopped eating) -- for that use instead '''[[Hypoglycemia, in diabetes]]''' | *This does NOT include simple hypoglycemia in a diabetic who took her/her USUAL dosage of diabetes drug (as might occur if the person stopped eating) -- for that use instead '''[[Hypoglycemia, in diabetes]]''' | ||
*Also don't use this code if the manifestation was due to an overdose of the diabetes drug, in which case use instead '''[[Insulin or other antidiabetes drug, overdose/toxicity]]''' | *Also don't use this code if the manifestation was due to an overdose of the diabetes drug, in which case use instead '''[[Insulin or other antidiabetes drug, overdose/toxicity]]''' | ||
Includes: | |||
*DO use this code for adverse effects of such drugs taken in the correct dose -- and as usual, if possible combine this code with a code representing the nature of the adverse effect | *DO use this code for adverse effects of such drugs taken in the correct dose -- and as usual, if possible combine this code with a code representing the nature of the adverse effect | ||
**e.g. metformin can cause lactic acidosis even taken in usual doses (especially if the person's renal function has declined) -- in which case you'd combine this code with '''[[Acidosis, NOS]]''' to cover lactic acidosis | **e.g. metformin can cause lactic acidosis even taken in usual doses (especially if the person's renal function has declined) -- in which case you'd combine this code with '''[[Acidosis, NOS]]''' to cover lactic acidosis | ||
Latest revision as of 14:38, 2018 December 20
| ICD10 Diagnosis | |
| Dx: | Insulin or antidiabetic drug, adverse effect |
| ICD10 code: | Y42.3 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Excludes:
- This does NOT include simple hypoglycemia in a diabetic who took her/her USUAL dosage of diabetes drug (as might occur if the person stopped eating) -- for that use instead Hypoglycemia, in diabetes
- Also don't use this code if the manifestation was due to an overdose of the diabetes drug, in which case use instead Insulin or other antidiabetes drug, overdose/toxicity
Includes:
- DO use this code for adverse effects of such drugs taken in the correct dose -- and as usual, if possible combine this code with a code representing the nature of the adverse effect
- e.g. metformin can cause lactic acidosis even taken in usual doses (especially if the person's renal function has declined) -- in which case you'd combine this code with Acidosis, NOS to cover lactic acidosis
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
Candidate Combined ICD10 codes
- Anaphylactic reaction (anaphylaxis)
- Allergic reaction (allergy), NOS
- Skin rash, drug-induced (drug eruption)
- Acidosis, NOS
Related CCI Codes
Data Integrity Checks (automatic list)
none found
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