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 Psychiatric drug NOS, overdose/toxicity, as it does not have its own code.
See ICD10 Guideline for drugs and substances for more info on coding substance related ICD10 diagnoses.