icd 10 code for ingestion of hand sanitizer

Full Answer

What is the ICD 10 code for accidental ingestion of detergent?

T55.1X1A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Toxic effect of detergents, accidental (unintentional), init

Is intentional ingestion of ethanol-based hand sanitizer a problem in psychiatric units?

Intentional ingestion of ethanol- or isopropanol-based hand sanitizer has been reported in the literature in a variety of settings within the health care system. Specifically in psychiatric units, case reports have only described ingestion of ethanol-based products.

What should facilities know about hand sanitizer?

Facilities should be aware of how accessible hand sanitizer is, particularly in areas with patients who have a history of substance dependence.

What is the ICD 10 code for drug poisoning?

Poisoning by other drugs, medicaments and biological substances, intentional self-harm, initial encounter. T50.992A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM T50.992A became effective on October 1, 2018.

When a harmful substance is ingested or comes in contact with a person this is classified as a toxic effect?

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.

What is the ICD-10 code for drug ingestion?

901A: Poisoning by unspecified drugs, medicaments and biological substances, accidental (unintentional), initial encounter.

What is the correct code for alcohol abuse with intoxication delirium?

121 - Alcohol abuse with intoxication delirium is a sample topic from the ICD-10-CM. To view other topics, please log in or purchase a subscription. ICD-10-CM 2022 Coding Guide™ from Unbound Medicine.

How do you code poisoning in ICD-10?

The sequencing for a toxic effect of substances chiefly nonmedicinal as to source (T51-T65) is the same as for coding poisonings. Poisoning codes have an associated intent: accidental, intentional self-harm, assault, and undetermined. Use additional code(s) for all manifestations of poisonings.

What is the ICD-10 code for alcohol intoxication?

ICD-10 code F10. 129 for Alcohol abuse with intoxication, unspecified is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .

What is diagnosis code O80?

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 .

What is the ICD-10 code for history of substance abuse?

The ICD-10 code Z86. 4 applies to cases where there is "a personal history of psychoactive substance abuse" (drugs or alcohol or tobacco) but specifically excludes current dependence (F10 - F19 codes with the fourth digit of 2).

What is the ICD-10 code for alcoholic ketoacidosis?

988.

What is the difference between poisoning and adverse effect?

When a patient is admitted for a poisoning, the poisoning is sequenced first followed by a code for the manifestation caused by the poisoning. An “adverse effect” is a reaction to a therapeutic substance correctly prescribed and administrated. This can include allergic reactions, medication toxicity, or side effects.

How do you code an underdosing?

For underdosing, assign the code from categories T36 – T50 found in Chapter 19. These codes require a 7th character extension to describe an initial encounter (A), subsequent encounter (D), or sequela encounter (S). Underdosing codes must be identified in the following order: The medical condition is sequenced first.

What is the definition of underdosing in ICD-10-CM?

In ICD-10-CM, underdosing is defined as taking less of a medication than is prescribed by a provider or instructed by the manufacturer.

What is the ICd 10 code for accidental alcohol?

Toxic effect of unspecified alcohol, accidental (unintentional), initial encounter 1 T51.91XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Toxic effect of unsp alcohol, accidental, init 3 The 2021 edition of ICD-10-CM T51.91XA became effective on October 1, 2020. 4 This is the American ICD-10-CM version of T51.91XA - other international versions of ICD-10 T51.91XA may differ.

What is the secondary code for Chapter 20?

Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.

How can poisoning be prevented?

To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison.

What is the secondary code for Chapter 20?

Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.

What does "toxic" mean in medical terms?

Clinical Information. A condition or physical state produced by the ingestion, injection, inhalation of or exposure to a deleterious agent. A poison is any substance that is harmful to your body.

Is T65.91 a non-billable code?

2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code. T65.91 should not be used for reimbursement purposes as there are multiple code s below it that contain a greater level of detail. Short description: Toxic effect of unsp substance, accidental (unintentional)

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier.

ICD-10-CM Drugs Index References for 'T65.894 - Toxic effect of other specified substances, undetermined'

The ICD-10-CM Drugs Index links the below-listed medical terms to the ICD code T65.894. Click on any term below to browse the drugs index.

Abstract

Intentional ingestion of ethanol- or isopropanol-based hand sanitizer has been reported in the literature in a variety of settings within the health care system. Specifically in psychiatric units, case reports have only described ingestion of ethanol-based products.

Background

Isopropanol (isopropyl alcohol) and ethanol-based hand sanitizers are readily available in most health care settings as advised by the World Health Organization 1 and Centers for Disease Control 2 guidelines for hand hygiene. Toxicity with isopropanol has been reported in the literature resulting from both intentional and accidental ingestions.

Case Report

A 40-year-old female on an inpatient adult psychiatric unit with a past medical history of depression with 1 previous suicide attempt, polysubstance abuse, posttraumatic stress disorder, insomnia, neuropathic pain, anxiety, hyperlipidemia, and gastroesophageal reflux disease was found with a decreased level of consciousness and an oxygen saturation of 88% on room air.

Discussion

Numerous cases describing intoxication from intentional ingestion of ethanol- or isopropanol-containing hand sanitizers have been reported in the literature. These have occurred in a variety of settings, including emergency rooms, 5, 9, 10 general hospital rooms, 3, 7, 11 - 15 prison, 16 and acute psychiatric or inpatient substance abuse units.

Conclusion

Facilities should be aware of the potential concern of access to ethanol- or isopropanol-based hand sanitizer, particularly in patients with a history of substance dependence. Even when appropriate measures are implemented, isopropanol toxicity should be considered in any hospitalized patient with a sudden change in level of consciousness.