ICD10 Guideline for drugs and substances: Difference between revisions

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*Regarding the '''primary reason''' for admission

**'''Code the physiologic/lab/etc manifestation that is most responsible for admission''' (e.g. if the overdose or poisoning caused renal failure AND shock, code the shock as primary as it's most immediately life threatening), '''NOT the agent or agents themselves as primary'''

**Code ALL the physiologic/lab/etc manifestations of the overdose or poisoning (e.g. renal failure, respiratory failure, shock, etc).

**'''Code ALL the physiologic/lab/etc manifestations of the overdose or poisoning''' (e.g. renal failure, respiratory failure, shock, etc).

**If the admission is just to observe the patient (i.e. perhaps the patient MAY have taken a dangerous drug or substance and does not YET have a physiologic manifestation requiring admission) then ~~code as~~ '''primary [[Observation for SUSPECTED overdose]]'''

**If the admission is just to '''observe the patient only''' (i.e. perhaps the patient MAY have taken a dangerous drug or substance and does not YET have a physiologic manifestation requiring admission) then '''code primary as [[Observation for SUSPECTED overdose]]'''

*Regarding overdoses or poisonings with multiple agents

**Code all the agents known to have been taken

@@ Line 3: / Line 3: @@
 *Regarding the '''primary reason''' for admission
 **'''Code the physiologic/lab/etc manifestation that is most responsible for admission''' (e.g. if the overdose or poisoning caused renal failure AND shock, code the shock as primary as it's most immediately life threatening), '''NOT the agent or agents themselves as primary'''
-**Code ALL the physiologic/lab/etc manifestations of the overdose or poisoning (e.g. renal failure, respiratory failure, shock, etc).
+**'''Code ALL the physiologic/lab/etc manifestations of the overdose or poisoning''' (e.g. renal failure, respiratory failure, shock, etc).
-**If the admission is just to observe the patient (i.e. perhaps the patient MAY have taken a dangerous drug or substance and does not YET have a physiologic manifestation requiring admission) then code as '''primary [[Observation for SUSPECTED overdose]]'''
+**If the admission is just to '''observe the patient only''' (i.e. perhaps the patient MAY have taken a dangerous drug or substance and does not YET have a physiologic manifestation requiring admission) then '''code primary as [[Observation for SUSPECTED overdose]]'''
 *Regarding overdoses or poisonings with multiple agents
 **Code all the agents known to have been taken