Template:ICD10 Guideline adverse effect: Difference between revisions

Revision as of 23:41, 2018 November 30

This template is used for the dxs in the Category:Adverse effect to consistently explain how to use them.

To use:

This category is in relation to pharmaceuticals and other biological substances (as opposed to Category: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

Adverse effect codes:
Acetaminophen (tylenol, paracematol), adverse effect Anesthetic gas, adverse effect Anti-arrhythmic, adverse effect Antibiotic/antimicrobial, adverse effect Anticoagulant, adverse effect Antidepressant drug NOS, adverse effect Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect Antiseizure drug NOS, adverse effect Aspirin or other salicylate or NSAID, adverse effect Benzodiazepine, adverse effect Beta-blocker, adverse effect Calcium channel blocker drug, adverse effect Cardiac/cardiovascular drug NOS, adverse effect Drug or biological substance/agent NOS, adverse effect Hallucinogen, adverse effect Hormone or hormone agonist drug, adverse effect Iatrogenic, complication of medical or surgical care NOS Insulin or antidiabetic drug, adverse effect Neuromuscular blocker/paralytic, adverse effect Opioid/narcotic, adverse effect Psychiatric drug NOS, adverse effect Sedative or hypnotic, adverse effect Thrombolytic drug, adverse effect Tricyclic antidepressant, adverse effect Xray contrast agent, adverse effect

For bad outcomes caused by overdoses, in most cases a counterpart dx will exits in:

Overdose codes:
Acetaminophen (tylenol, paracematol), overdose/toxicity Anesthetic gas, overdose/toxicity Anti-arrhythmic, overdose/toxicity Antibiotic/antimicrobial, overdose/toxicity Anticoagulant, overdose/toxicity Antidepressant drug NOS, overdose/toxicity Antineoplastic/chemotherapy or immunosuppressive drugs, overdose/toxicity Antiseizure drug NOS, overdose/toxicity Aspirin or other salicylate or NSAID, overdose/toxicity Benzodiazepine, overdose/toxicity Beta-blocker, overdose/toxicity Calcium channel blocker, overdose/toxicity Cardiac/cardiovascular drug NOS, overdose/toxicity Cocaine, overdose/toxicity Drug or biological substance/agent NOS, overdose/toxicity Hallucinogen, overdose/toxicity Hormone or hormone agonist NOS, overdose/toxicity Iatrogenic, complication of medical or surgical care NOS Insulin or other antidiabetes drug, overdose/toxicity Neuromuscular blocker/paralytic, overdose/toxicity Observation for SUSPECTED overdose Opioid/narcotic, overdose/toxicity Psychiatric drug NOS, overdose/toxicity Sedative or hypnotic, overdose/toxicity Thrombolytic drug, overdose/toxicity Tricyclic antidepressant, overdose/toxicity

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

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 *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 drugs]]
+**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]]