Template:ICD10 Guideline overdose
This template is used for the dxs in the Category:Adverse effect to consistently explain how to use them.
To use:
- {{ICD10 Guideline overdose}}
Overdose/toxicity codes
- This category is in relation to pharmaceuticals and other biological substances (as opposed to Category:Poisoning by non-pharmaceuticals)
- To qualify for these codes, there must be a threat to life, or limb, or to functioning for one or more organs AND there was an INAPPROPRIATE dosing regimen -- thus the threat was a consequence of an overdose
- e.g. opioid overdose can cause respiratory arrest or shock, both of which can be life threats
- e.g. acetominophen overdose puts the liver at risk of failing
- There is no assumption here about whether the overdose was accidental or not -- if it was a suicide attempt, then you should link the overdose code with Suicide attempt (intentional self-harm)
- 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, overdose/toxicity
Overdose/toxicity codes are to be used for drugs that have been used at an inappropriate dose or frequency, or in a recreational /non-prescription use setting.
For bad outcomes caused by drugs that had been used appropriately, in most cases a counterpart dx will exits in:
Stimulants
For overdose of stimulants including methamphetamine use WHAT, as it does not have its own code.
See ICD10 Guideline for drugs and substances for more info on coding substance related ICD10 diagnoses.