Hallucinogen, adverse effect
ICD10 Diagnosis | |
Dx: | Hallucinogen, adverse effect |
ICD10 code: | Y49.6 |
Pre-ICD10 counterpart: | none assigned |
Charlson/ALERT Scale: | none |
APACHE Como Component: | none |
APACHE Acute Component: | none |
Start Date: | 2018-11-25 |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Additional Info
Some examples of hallucinogens include:
- LSD (lysergic acid diethylamide);
- PCP (phencyclidine);
- magic mushrooms (psilocybin);
- ketamine;
- mescaline (peyote cactus);
- morning glory seeds;
- datura.
Adverse effect codes
- This information pertains to the following codes:
Adverse effect 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:
Overdose codes: |
See ICD10 Guideline for drugs and substances for more info on coding substance related ICD10 diagnoses.
Distinguishing between Sedative/hypnotics, Hallucinogens, and Psychoactive substances
Common sedatives or hypnotics
- benzodiazepines
- barbiturates
- dilantin and most other antiseizure drugs
- tricyclics and most anti-depressants (but not lithium, which is categorized under “Psychiatric drug NOS”)
- xylazine is a non-opiate sedative, analgesic and muscle relaxant authorized for veterinary use in the US, now being found in a number of illicit drug mixtures such as fentanyl, cocaine and heroin
Common hallucinogens
- LSD (lysergic acid diethylamide)
- PCP (phencyclidine)
- magic mushrooms (psilocybin)
- ketamine
- mescaline (peyote cactus)
- morning glory seeds
- datura
- don't include cannabis under general hallucinogens, see
Common Psychoactive Substances
- Pharmaceuticals:
- lithium
- phenothiazines
- olanzapine (Zyprexa)
- respiradone (Respirdol
- quetiapine (Seroquel)
- methylphenidate(Ritalin)
- amphetamines (Adderol)
- other antipsychotics
- Street drugs/agents:
- ecstacy (MDMA), also referred to as Molly
- nitrous oxide
Alternate ICD10s to consider coding instead or in addition
Adverse effect codes: |
Hallucinogen related codes: |
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
Related articles: |
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