A 'billable code' is detailed enough to be used to specify a medical diagnosis. Digoxin toxicity may occur in individuals who take excessive amounts of the drug digoxin in a short period of time or in individuals who accumulate high levels of digoxin during an ongoing chronic treatment.
Poisoning by cardiac-stimulant glycosides and drugs of similar action, accidental (unintentional), initial encounter. T46.0X1A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM T46.0X1A became effective on October 1, 2018.
2018/2019 ICD-10-CM Diagnosis Code T46.0X5A. Adverse effect of cardiac-stimulant glycosides and drugs of similar action, initial encounter. T46.0X5A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Toxicity refers to adverse effect of a drug thus coding symptoms followed by an Ecode for Theuraputic usege of the drug will suffice 796.0 is the code I use for Coumadin Toxicity or Digoxin Toxicity if there is no mention of a specific reaction or problem in the patient.
2022 ICD-10-CM Diagnosis Code T50. 901A: Poisoning by unspecified drugs, medicaments and biological substances, accidental (unintentional), initial encounter.
991A: Poisoning by other drugs, medicaments and biological substances, accidental (unintentional), initial encounter.
X40–X49 Accidental poisoning by and exposure to noxious substances; • X60–X69 Intentional self-poisoning; or • Y10–Y19 Poisoning, undetermined intent. There is no need to repeat the external cause code when multiple drugs are classified to the same external cause code.
ICD-10 code Z51. 81 for Encounter for therapeutic drug level monitoring is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Encounter for full-term uncomplicated deliveryICD-10 code O80 for Encounter for full-term uncomplicated delivery is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
Code I25* is the diagnosis code used for Chronic Ischemic Heart Disease, also known as Coronary artery disease (CAD). It is a is a group of diseases that includes: stable angina, unstable angina, myocardial infarction, and sudden coronary death.
In the case of an adverse effect of a prescribed medication, the adverse effect is coded first, followed by coding for the substance causing the adverse effect and then the condition being treated. Encounters involving poisoning are coded in a different order first by the substance, followed by the adverse effects.
Toxic effects should be sequenced first, followed by code(s) for all manifestations. When no intent is indicated, you should code as accidental. Undetermined intent is only for use when there is specific documentation in the record that the intent of the toxic effect cannot be determined.
When a harmful substance is ingested or comes in contact with a person, this is classified as a toxic effect. The toxic effect codes are in categories T51-T65. Toxic effect codes have an associated intent: accidental, intentional, self-harm, assault and undetermined.
81.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.
V58. 69 - Long-term (current) use of other medications. ICD-10-CM.
Digoxin toxicity may occur in individuals who take excessive amounts of the drug digoxin in a short period of time or in individuals who accumulate high levels of digoxin during an ongoing chronic treatment.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code T46.0X4A and a single ICD9 code, E980.4 is an approximate match for comparison and conversion purposes.
A drug toxicity is referring to the concentration of the drug in the patient's blood. This toxicity could be due to the patient taking more medication than prescribed, that is an accidental poisoning and is coded using a 9xx.xx code first then the reaction then the E code. OR the toxicity is due to a metabolic reaction which is an adverse reaction to the medication this is coded as the reaction followed by the E code for the adverse reaction. It is very important to obtain clear and correct information when coding these as we do not want to communicate an adverse reaction when in fact the patient has incorrectly self administered the drug, or the nurse or even the physician made a mistake in the administration or prescribing of the drug.
A poisoning is either the patient intentionally or accidentally takes the medication incorrectly, or the physician precribes the medicaton incorrectly. Adverse effect is medication that is prescribed corrctly and taken as prescribed and still has a reaction. Toxicity is a dx that is derived after results of the test reveals levels that in considered in the toxic rang , this could be due to either poisoning or adverse effect.#N#when coding a poisoning the 9xx.xx code is first listed with the effect secondary followed by the appropriate Ecode. For adverse effect you code the effect first followed by the E-code adverse effect in therapeutic use. These are the rules for either outpatient, inpatient, or physician coding.#N#You would lis the V58.6x codes secondary as they are not allowed first listed
coma, vertigo, etc...) and then the E code from therapeutic use column. ****In the event that the specified effect is unknown or not documented, 796 .0 is reserved for inpatient use.