Insulin or antidiabetic drug, adverse effect
| 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
- 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
- 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. Skin rash, drug-induced (drug eruption), Anaphylatic reaction (anaphylaxis)
- 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
Related CCI Codes
Data Integrity Checks (automatic list)
none found
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