icd 10 code for history of red man's syndrome due to vancomycin

by Elfrieda Keeling 4 min read

You Be the Coder: Choosing a Diagnosis for Red Man Syndrome
New Jersey SubscriberAnswer: You should code with 695.9 (Unspecified erythematous condition). Explanation: Red man syndrome is an infusion-related reaction to vancomycin.

Full Answer

What is red man syndrome in vancomycin?

Red man syndrome is an infusion-related reaction peculiar to vancomycin [3]. It typically consists of pruritus, an erythematous rash that involves the face, neck, and upper torso. Less frequently, hypotension and angioedema can occur.

What is the pathophysiology of red man syndrome?

Red man syndrome, an anaphylactoid reaction, is caused by the degranulation of mast cells and basophils, resulting in the release of histamine independent of preformed IgE or complement. The extent of histamine release is related partly to the amount and rate of the vancomycin infusion.

What is the ICD 10 code for vancomycin resistant Enterococcus (VRE)?

Carrier of vancomycin resistant enterococcus; Vancomycin resistant enterococcus (vre) carrier ICD-10-CM Diagnosis Code Z16.11 [convert to ICD-9-CM]

What causes red-man syndrome (RMS)?

Bergeron L, Boucher FD. Possible red-man syndrome associated with systemic absorption of oral vancomycin in a child with normal renal function. Ann Pharmacother.

What is the ICD-10 code for vancomycin?

Z16. 21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z16.

What is the ICD-10 code for Redman syndrome?

WA Coding Rule 0312/05 Red Man Syndrome is retired. In ICD-10-AM/ACHI/ACS Eleventh Edition (effective 1 July 2019) ACS 0005 Syndromes was amended and new code U91 Syndrome, NEC created. See also Guide to Major Eleventh Edition Changes: Australian Coding Standards and ICD-10-AM, available on the WACCA website.

What is red man syndrome from vancomycin?

Red man syndrome is an infusion-related reaction peculiar to vancomycin [3]. It typically consists of pruritus, an erythematous rash that involves the face, neck, and upper torso. Less frequently, hypotension and angioedema can occur.

What diagnosis Z71 89?

ICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

How do you code red man syndrome?

Question: What is the correct diagnosis for red man syndrome? New Jersey SubscriberAnswer: You should code with 695.9 (Unspecified erythematous condition). Explanation: Red man syndrome is an infusion-related reaction to vancomycin.

How can vancomycin prevent red man syndrome?

Giving diphenhydramine to the person before their first vancomycin infusion can prevent red man syndrome. Also, it is important for the infusion to be administered over at least 60 minutes, if possible, to minimize the adverse effects. Smaller and more frequent doses of vancomycin are better tolerated by the body.

Can vancomycin cause Steven Johnson syndrome?

Conclusions: Vancomycin is a potential causative agent of Stevens-Johnson syndrome.

Is red man syndrome an allergy for vancomycin?

Red man syndrome (RMS) is a common allergic reaction to vancomycin that typically presents with a rash on the face, neck, and upper torso after intravenous administration of vancomycin. Less frequently, RMS may be accompanied by hypotension and angioedema.

What are the symptoms of vancomycin toxicity?

AdvertisementBlack, tarry stools.blood in the urine or stools.continuing ringing or buzzing or other unexplained noise in the ears.cough or hoarseness.dizziness or lightheadedness.feeling of fullness in the ears.fever with or without chills.general feeling of tiredness or weakness.More items...•

Can Z76 89 be used as a primary diagnosis?

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.

What is diagnosis code Z79 899?

ICD-10 Codes for Long-term TherapiesCodeLong-term (current) use ofZ79.84oral hypoglycemic drugsZ79.891opiate analgesicZ79.899other drug therapy21 more rows•Aug 15, 2017

What is I10 diagnosis?

ICD-Code I10 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Essential (Primary) Hypertension.

What is the cause of red man syndrome?

The anaphylactic reaction is mediated by IgE. Red man syndrome, an anaphylactoid reaction, is caused by the degranulation of mast cells and basophils, resulting in the release of histamine independent of preformed IgE or complement.

What is the most common reaction to vancomycin?

The most common hypersensitivity reaction associated with vancomycin is red man syndrome. The incidence varies between 3.7 and 47% in infected patients [2]. Studies of vancomycin also show that the most severe reactions occur in patients younger than the age of 40, particularly in children [6]. Other research has found that between 30 and 90% ...

What is vancomycin used for?

Vancomycin is often used in intensive care units. It is the drug of choice for the treatment of infections due to methicillin-resistant staphylococci, Corynebacterium jeikeium, and resistant strains of Streptococcus pneumoniae. Vancomycin is an alternative drug for serious staphylococcal and streptococcal infections, including endocarditis, ...

Is histamine release related to vancomycin?

The extent of histamine release is related partly to the amount and rate of the vancomycin infusion. Clinical studies have shown that the plasma tryptase levels were not significantly elevated in confirmed anaphylactoid reactions, so they can be used to distinguish chemical reactions from immunologic reactions [9].

Is vancomycin a penicillin?

Vancomycin is an alternative drug for serious staphylococcal and streptococcal infections, including endocarditis, when allergy precludes the use of penicillins and cephalosporins. Vancomycin can cause two types of hypersensitivity reactions, the red man syndrome and anaphylaxis [2]. Red man syndrome is an infusion-related reaction peculiar ...

Can vancomycin cause hypersensitivity?

Vancomycin can cause two types of hypersensitivity reactions, the red man syndrome and anaphylaxis. Red man syndrome has often been associated with rapid infusion of the first dose of the drug and was initially attributed to impurities found in vancomycin preparations. Even after improvement in vancomycin's purity, however, ...

Can ciprofloxacin cause red man syndrome?

Antibiotics such as ciprofloxacin, amphotericinB, rifampcin and teicoplanin [14] can potentially cause red man syndrome. Like vancomycin, they are capable of causing direct degranulation of mast cells and basophils. Red man syndrome is amplified if these antibiotics are combined with vancomycin or with each other [10].

What is the red man syndrome?

Introduction. Red man syndrome (RMS) is an anaphylactoid reaction caused by the rapid infusion of the glycopeptide antibiotic vancomycin. RMS consists of a pruritic, erythematous rash to the face, neck, and upper torso, which may also involve the extremities to a lesser degree. Symptoms may include weakness, angioedema, and chest or back pain.

What is the most common adverse reaction to vancomycin?

RMS is the most frequent adverse reaction to intravenous vancomycin. It occurs in 4% to 50% of infected patients treated with intravenous vancomycin. Patients under 40 years of age are at greatest risk of severe RMS reactions.

How fast can vancomycin be infused?

Facilities should establish infusion protocols to limit infusion rates of vancomycin to 1 gram/hour or slower at 10 mg/min. Enhancing Healthcare Team Outcomes .

How long does it take for vancomycin to show symptoms?

Symptoms may occur as soon as four minutes after initiating the first dose until up to seven days after dose completion. Patients with infections treated with intravenous vancomycin are at risk of developing RMS. The signs and symptoms of RMS include:[1][2] Erythematous rash on the face, neck, and upper torso.

What causes RMS in a patient?

RMS is caused by vancomycin through the direct and non-immune-mediated release of histamine from mast cells and basophils. The amount of histamine release is generally related to the dosage of vancomycin infused and the rate of infusion.

What causes RMS?

RMS is caused by vancomycin through the direct and non-immune-mediated release of histamine from mast cells and basophils. The amount of histamine release is generally related to the dose of vancomycin infused and the rate of infusion.

What is the rash on the upper torso?

RMS consists of a pruritic, erythematous rash to the face, neck, and upper torso, which may also involve the extremities to a lesser degree. Symptoms may include weakness, angioedema, and chest or back pain. RMS is caused by vancomycin through the direct and non-immune-mediated release of histamine from mast cells and basophils.