7) Encounters for treatment of sequela of burns Encounters for the treatment of the late effects of burns or corrosions (i.e., scars or joint contractures) should be coded
ICD-10-CM Official Guidelines for Coding and Reporting FY 2016 Page 70 of 115 with a burn or corrosion code with the 7 th character “S” for sequela. 8) Sequelae with a late effect code and current burn When appropriate, both a code for a current burn or corrosion with 7 th character “A” or “D” and a burn or corrosion code with 7 th character “S” may be assigned on the same record (when both a current burn and sequelae of an old burn exist). Burns and corrosions do not heal at the same rate and a current healing wound may still exist with sequela of a healed burn or corrosion. See Section I.B.10 Sequela (Late Effects) 9) Use of an external cause code with burns and corrosions An external cause code should be used with burns and corrosions to identify the source and intent of the burn, as well as the place where it occurred. e. Adverse Effects, Poisoning, Underdosing and Toxic Effects Codes in categories T36-T65 are combination codes that include the substance that was taken as well as the intent. No additional external cause code is required for poisonings, toxic effects, adverse effects and underdosing codes. 1) Do not code directly from the Table of Drugs Do not code directly from the Table of Drugs and Chemicals. Always refer back to the Tabular List. 2) Use as many codes as necessary to describe Use as many codes as necessary to describe completely all drugs, medicinal or biological substances. 3) If the same code would describe the causative agent If the same code would describe the causative agent for more than one adverse reaction, poisoning, toxic effect or underdosing, assign the code only once. 4) If two or more drugs, medicinal or biological substances If two or more drugs, medicinal or biological substances are reported, code each individually unless a combination code is listed in the Table of Drugs and Chemicals.
ICD-10-CM Official Guidelines for Coding and Reporting FY 2016 Page 71 of 115 5) The occurrence of drug toxicity is classified in ICD-10- CM as follows: (a) Adverse Effect When coding an adverse effect of a drug that has been correctly prescribed and properly administered, assign the appropriate code for the nature of the adverse effect followed by the appropriate code for the adverse effect of the drug (T36-T50). The code for the drug should have a 5 th or 6 th character “5” (for example T36.0X5-) Examples of the nature of an adverse effect are tachycardia, delirium, gastrointestinal hemorrhaging, vomiting, hypokalemia, hepatitis, renal failure, or respiratory failure. (b) Poisoning When coding a poisoning or reaction to the improper use of a medication (e.g., overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories T36-T50.
- Spring '16
- Lisa Campbell
- DNA, Diagnosis codes, Braille, Major Diagnostic Category