Iatrogenic codes in ICD10

This page contains an ICD10 Coding Guideline for ICD10 collection. See ICD10 coding guidelines for similar pages.

There are numerous different codes for iatrogenic problems. It's important to become familiar with the options and choose the right one.

Additional Info

• see Template:ICD10 Guideline Iatrogenic for the information that shows up on every page for an iatrogenic dx code, only additional details should be on this page
• Generally these codes do not need to be combined with another code -- e.g: Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection

Subcategories (types) of iatrogenic codes

These fall into several categories:

• Adverse effects of a drug, medical or biological substance. These codes include some combination of the words "used appropriately", "adverse effect", and "drug-induced". For these dosing was appropriate but the patient had some bad effect.
• Overdose/poisoning by drugs, medical or biological substance. These codes include some combination of the words "overdose/poisoning" and "poisoning/toxic effect". Of course these overdoses/poisoning may or may NOT be iatrogenic -- alternatively they could represent self-harm, or be accidental outside of a healthcare setting.
• Complications of organ transplants. These codes contain some combination of the words "failure or rejection" or "failure or rejection or unspecified complications". Also included here is Graft-versus-host disease/reaction (GVHD)
• Decubitus (pressure) ulcers -- of course these may or may NOT be iatrogenic, i.e. they can occur at home or in a long-term care facility.
• Pneumonia, ventilator-associated (VAP)
• Hospital-acquired pneumonia (HAP) in ICD10
• Iatrogenic infections other than HAP and VAP
• Iatrogenic mechanism - complications of devices

• A group of particularly important specific iatrogenic problems:
  • Iatrogenic, dehiscence or rupture or disruption, surgical wound NOS
  • Iatrogenic, hemorrhage or hematoma, related to a procedure or surgery NOS
  • Iatrogenic, hypotension/shock, postoperative/post-procedural
  • Iatrogenic, puncture or laceration, related to a procedure or surgery NOS
  • Iatrogenic, thromboembolism, as complication of line/infusion/transfusion/injection

• Miscellaneous things, including
  • Transfusion-related acute lung injury (TRALI, form of ARDS)
  • Iatrogenic, transfusion reaction (incompatibility reaction) (any type) -- excludes TRALI
  • Failed/difficult intubation, or complication of intubation
  • Complication associated with artificial fertilization, NOS
  • Iatrogenic, malignant hyperthermia, due to anesthesia
  • Complication of anesthesia, NOS --- excludes malignant hyperthermia
  • Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection

• Some wastebasket codes:
  • Iatrogenic, complication NOS, cardiac or vascular prosthetic device or implant or graft
  • Iatrogenic problem NOS, related to a surgery or procedure, NOS
  • Iatrogenic, complication of medical or surgical care NOS