Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect: Difference between revisions

Revision as of 17:15, 2023 February 9

ICD10 Diagnosis
Dx:	Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect
ICD10 code:	Y43.3
Pre-ICD10 counterpart:	Pancytopenia
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

Additional Info

Includes:

Antirejection drugs
Side effects such as nausea/vomiting

	Includes: Differentiation Syndrome. Should we also link in a code such as Disorder of the immune system, NOS to code differentiation syndrome?

List of immunosuppressive drugs
Used to treat an increasing variety of conditions: immune-mediated (RA, UC, Crohn's, lupus, MS, psoriasis, etc); after organ transplant. Only considered immunosuppressive if given systemically (po, im or iv) Corticosteroids (unlike all the others, these only count if > a given daily dose and used for at least 2 weeks prior to admission) Dexamethasone: >0.25 mg/day Hydrocortisone: >40 mg/day Prednisone (methyl-prednisolone): >10 mg/day Prednisolone: >8 mg/day Cancer chemotherapy -- includes any agents, if received within the past 6 months Nonsteroidal immunosuppressives -- includes any of these, if received within the past 1 month Abatacept (Orencia) Azathioprine (Imuran) Adalimumab (Humira) Anakinra (Kineret) Basiliximab (Simulect) Certolizumab (Cimzia) Cyclophosphamide (Cytoxan) Cyclosporine Daclizumab (Zinbryta) Etanercept (Enbrel) Everolimus (Afinitor, Zortress) Golimumag (Simponi) Infliximab (Remicade) Ixekizumab (Taltz) Leflunomide (Arava) Lenalidomide Methotrexate Mycophenolate (CellCept) Natalizumab (Tysabri) Rituximab (Rituxan) Secukinumab (Cosentyx) Sirolimus (Rapasumne) Tacrolimus (Prograf) Tocilizumab (Actemra) Tofacitinib (Xeljanz) Ustekinumab (Stelara) Vedolizumab (Entyvio) Do not include hydroxychloroquine - as per task meeting 2022-04-20 it is an immune modulator, but not very immunosuppressive

Adverse effect codes

This information pertains to the following codes:

Adverse effect codes:
Acetaminophen (tylenol, paracematol), adverse effect Anesthetic gas, adverse effect Anti-arrhythmic, adverse effect Antibiotic/antimicrobial, adverse effect Anticoagulant, adverse effect Antidepressant drug NOS, adverse effect Antiseizure drug NOS, adverse effect Aspirin or other salicylate or NSAID, adverse effect Benzodiazepine, adverse effect Beta-blocker, adverse effect Calcium channel blocker drug, adverse effect Cardiac/cardiovascular drug NOS, adverse effect Drug or biological substance/agent NOS, adverse effect Hallucinogen, adverse effect Hormone or hormone agonist drug, adverse effect Iatrogenic, complication of medical or surgical care NOS Insulin or antidiabetic drug, adverse effect Neuromuscular blocker/paralytic, adverse effect Opioid/narcotic, adverse effect Psychiatric drug NOS, adverse effect Sedative or hypnotic, adverse effect Thrombolytic drug, adverse effect Tricyclic antidepressant, adverse effect Xray contrast agent, adverse effect

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:
Acetaminophen (tylenol, paracematol), overdose/toxicity Anesthetic gas, overdose/toxicity Anti-arrhythmic, overdose/toxicity Antibiotic/antimicrobial, overdose/toxicity Anticoagulant, overdose/toxicity Antidepressant drug NOS, overdose/toxicity Antineoplastic/chemotherapy or immunosuppressive drugs, overdose/toxicity Antiseizure drug NOS, overdose/toxicity Aspirin or other salicylate or NSAID, overdose/toxicity Benzodiazepine, overdose/toxicity Beta-blocker, overdose/toxicity Calcium channel blocker, overdose/toxicity Cardiac/cardiovascular drug NOS, overdose/toxicity Cocaine, overdose/toxicity Drug or biological substance/agent NOS, overdose/toxicity Hallucinogen, overdose/toxicity Hormone or hormone agonist NOS, overdose/toxicity Iatrogenic, complication of medical or surgical care NOS Insulin or other antidiabetes drug, overdose/toxicity Neuromuscular blocker/paralytic, overdose/toxicity Observation for SUSPECTED overdose Opioid/narcotic, overdose/toxicity Psychiatric drug NOS, overdose/toxicity Sedative or hypnotic, overdose/toxicity Thrombolytic drug, overdose/toxicity Tricyclic antidepressant, overdose/toxicity

Coding substance related ICD10 diagnoses

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

Adverse effect codes:
Acetaminophen (tylenol, paracematol), adverse effect Anesthetic gas, adverse effect Anti-arrhythmic, adverse effect Antibiotic/antimicrobial, adverse effect Anticoagulant, adverse effect Antidepressant drug NOS, adverse effect Antiseizure drug NOS, adverse effect Aspirin or other salicylate or NSAID, adverse effect Benzodiazepine, adverse effect Beta-blocker, adverse effect Calcium channel blocker drug, adverse effect Cardiac/cardiovascular drug NOS, adverse effect Drug or biological substance/agent NOS, adverse effect Hallucinogen, adverse effect Hormone or hormone agonist drug, adverse effect Iatrogenic, complication of medical or surgical care NOS Insulin or antidiabetic drug, adverse effect Neuromuscular blocker/paralytic, adverse effect Opioid/narcotic, adverse effect Psychiatric drug NOS, adverse effect Sedative or hypnotic, adverse effect Thrombolytic drug, adverse effect Tricyclic antidepressant, adverse effect Xray contrast agent, adverse effect

Overdose codes:
Acetaminophen (tylenol, paracematol), overdose/toxicity Anesthetic gas, overdose/toxicity Anti-arrhythmic, overdose/toxicity Antibiotic/antimicrobial, overdose/toxicity Anticoagulant, overdose/toxicity Antidepressant drug NOS, overdose/toxicity Antineoplastic/chemotherapy or immunosuppressive drugs, overdose/toxicity Antiseizure drug NOS, overdose/toxicity Aspirin or other salicylate or NSAID, overdose/toxicity Benzodiazepine, overdose/toxicity Beta-blocker, overdose/toxicity Calcium channel blocker, overdose/toxicity Cardiac/cardiovascular drug NOS, overdose/toxicity Cocaine, overdose/toxicity Drug or biological substance/agent NOS, overdose/toxicity Hallucinogen, overdose/toxicity Hormone or hormone agonist NOS, overdose/toxicity Iatrogenic, complication of medical or surgical care NOS Insulin or other antidiabetes drug, overdose/toxicity Neuromuscular blocker/paralytic, overdose/toxicity Observation for SUSPECTED overdose Opioid/narcotic, overdose/toxicity Psychiatric drug NOS, overdose/toxicity Sedative or hypnotic, overdose/toxicity Thrombolytic drug, overdose/toxicity Tricyclic antidepressant, overdose/toxicity

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

Related articles:
Combined ICD10 codes ‎ (← links) Lip or mouth or tonsils or pharynx, primary malignancy ‎ (← links) Heart, primary malignancy ‎ (← links) Mediastinum, primary malignancy ‎ (← links) Nerves, peripheral or autonomic, primary malignancy ‎ (← links) Lymph nodes, metastatic malignancy to them (also code primary site) ‎ (← links) Lung, metastatic malignancy to it (also code primary site) ‎ (← links) Pleura, metastatic malignancy to it (also code primary site) ‎ (← links) Respiratory system NOS, metastatic malignancy to it (also code primary site) ‎ (← links) Peritoneum, metastatic malignancy to it (also code primary site) ‎ (← links) Liver or biliary system, metastatic malignancy to it (also code primary site) ‎ (← links) Gastrointestinal system NOS, metastatic malignancy to it (also code primary site) ‎ (← links) Urinary system NOS, metastatic malignancy to it (also code primary site) ‎ (← links) Brain or meninges, metastatic malignancy to it (also code primary site) ‎ (← links) Bone or bone marrow, metastatic malignancy to it (also code primary site) ‎ (← links) Adrenal gland, metastatic malignancy to it (also code primary site) ‎ (← links) Site NOS, metastatic malignancy to it (also code primary site) ‎ (← links) Multiple endocrine adenomatosis (multiple endocrine neoplasia syndrome, MEN) ‎ (← links) Hyposplenism ‎ (← links) Adrenal insufficiency, NOS ‎ (← links) Testicular dysfunction, NOS ‎ (← links) Hyperkalemia, severe or symptomatic ‎ (← links) Tumor lysis syndrome ‎ (← links) Cerebrospinal fluid (CSF) leak ‎ (← links) Hypotension, drug-induced ‎ (← links) Interstitial lung disease, drug-induced (acute or chronic) ‎ (← links) Nausea or vomiting ‎ (← links) Antibiotic/antimicrobial, overdose/toxicity ‎ (← links) Hormone or hormone agonist NOS, overdose/toxicity ‎ (← links) Aspirin or other salicylate or NSAID, overdose/toxicity ‎ (← links) Acetaminophen (tylenol, paracematol), overdose/toxicity ‎ (← links) Cocaine, overdose/toxicity ‎ (← links) Opioid/narcotic, overdose/toxicity ‎ (← links) Hallucinogen, overdose/toxicity ‎ (← links) Benzodiazepine, overdose/toxicity ‎ (← links) Antiseizure drug NOS, overdose/toxicity ‎ (← links) Tricyclic antidepressant, overdose/toxicity ‎ (← links) Antidepressant drug NOS, overdose/toxicity ‎ (← links) Psychiatric drug NOS, overdose/toxicity ‎ (← links) Beta-blocker, overdose/toxicity ‎ (← links) Anticoagulant, overdose/toxicity ‎ (← links) Calcium channel blocker, overdose/toxicity ‎ (← links) Cardiac/cardiovascular drug NOS, overdose/toxicity ‎ (← links) Drug or biological substance/agent NOS, overdose/toxicity ‎ (← links) Anaphylactic reaction (anaphylaxis) ‎ (← links) Angioedema (angioneurotic edema) ‎ (← links) Allergic reaction (allergy), NOS ‎ (← links) Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection ‎ (← links) Iatrogenic, thromboembolism, as complication of line/infusion/transfusion/injection ‎ (← links) Iatrogenic, infection, related to vascular access other than central line ‎ (← links)

Skin	Trauma Abdominal trauma Burn Chemical burn Fracture Head trauma Head trauma (old) Joint/ligament trauma Lower limb trauma Muscles/tendon trauma Neck trauma Potential trauma Thoracic trauma Traumatic Amputation Traumatic fracture Upper limb trauma Vascular trauma	Renal/urinary Chronic kidney disease Nephritic syndrome Renal failure Renal/Urinary neoplasm Urinary tract infection	Infectious disease Antibiotic resistance Bacteria COVID Double duty pathogen Encephalitis Fungus Iatrogenic infection Infection requiring pathogen Infection with implied pathogen Influenza Intra-abdominal infection Lower respiratory tract infection Meningitis Non-specific pathogens Osteomyelitis Pathogens Pneumonia Potential infection Tuberculosis Upper respiratory tract infection Virus
ENT	Testing Imaging	Cardiovascular Aneurysm Aortic Aneurysm Arrhythmia Arterial thromboembolism Atherosclerosis Cardiac septum problem Cerebral Hemorrhage/Stroke Heart valve disease Hemorrhage Hypertension Hypotension Ischemia Ischemic gut Ischemic heart disease Myocardial Infarction Pulmonary embolism Pulmonary hypertension Vasculitis Venous thromboembolism	Hereditary/congenital
Eye	Mechanism Transportation mechanism	Neoplastic Benign neoplasm Endocrine neoplasm Female genital neoplasm Gastrointestinal neoplasm Heme/immunology neoplasm Leukemia Lymphoma Male genital neoplasm Metastasis Musculoskeletal/soft tissue neoplasm Neuro neoplasm Primary malignancy Renal/Urinary neoplasm Respiratory neoplasm Skin neoplasm	Heme/immunology Allergy Anemia Heme/immunology neoplasm Hemophilia Leukemia Thrombocytopenia
Misc Adverse effect Alcohol related Allergy Anesthetic related Antidepressant related Awaiting/delayed transfer COVID Cannabis related Cocaine related Decubitus ulcer Diagnosis implying death Exposure Fistula Hallucinogen related Has one Healthcare contact Hemorrhage Iatrogenic Metabolic/nutrition Non-traumatic fracture Observation Organ removal Ostomy Overdose Paralysis Past medical history Poisoning Psychoactive substance NOS related Radiation related Retired Code Rheumatic disease Sedative related Shock Solvent related Spine Stimulant related Transplant	Reproductive Abortion Breast disease Female genital neoplasm Male genital neoplasm Peripartum	Gastrointestinal Cirrhosis GI ulcer Gastroenteritis Gastrointestinal neoplasm Hepatitis Hernia Inflammatory Bowel Disease Intra-abdominal infection Ischemic gut Liver disease Liver failure Pancreas disease Pancreatitis Peptic ulcer	Musculoskeletal/soft tissue Hernia Joint/ligament trauma Muscle problem Muscles/tendon trauma Musculoskeletal/soft tissue neoplasm Osteomyelitis
Psych Addiction Antidepressant related Delirium Dementia Hallucinogen related Opioid related Psychoactive substance NOS related Sedative related Solvent related Stimulant related Withdrawal	Respiratory Asthma Influenza Inhalation Lower respiratory tract infection Pleural abnormalities Pneumoconiosis Pneumonia Pneumothorax Pulmonary embolism Respiratory neoplasm Sleep disorder Tracheostomy Upper respiratory tract infection	Poisoning Acute intoxication Addiction Opioid related Overdose Poisoning by non-pharmaceuticals Stimulant related Withdrawal
Neuro Cerebral Hemorrhage/Stroke Encephalitis Encephalopathy Meningitis Neuro neoplasm Paralysis	Symptom/Sign Pain	Endocrine disorder Adrenal Insufficiency Diabetes Endocrine neoplasm Metabolic/nutrition

Show all ICD10 Subcategories

ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results

@@ Line 16: / Line 16: @@
 * Side effects such as nausea/vomiting
-{{DA| Includes: Differentiation Syndrome. Should we also link in a code such as [[Disorder of the immune system, NOS]] to code differentiation syndrome?}}
+{{DiscussTask | Includes: Differentiation Syndrome. Should we also link in a code such as [[Disorder of the immune system, NOS]] to code differentiation syndrome?}}
 {{List of immunosuppressive drugs}}

Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect: Difference between revisions

Revision as of 17:15, 2023 February 9

Contents

Additional Info

Adverse effect codes

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)

Related Articles

Navigation menu

Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect: Difference between revisions

Revision as of 17:15, 2023 February 9

Additional Info

Adverse effect codes

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)

Related Articles

Navigation menu

Search