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Home/Diagnosis/ICD-10 Coding for Accidental Overdose

ICD-10 Coding for Accidental Overdose

T40.1X1A
T50.901A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for accidental overdose includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Unintentional Overdose
Accidental Drug Poisoning
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Key Information: ICD-10 Coding for Accidental Overdose

Essential facts and insights about ICD-10 Coding for Accidental Overdose

Use ICD-10 code T40.1X1A for poisoning by heroin, accidental, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Poisoning by heroin, accidental, initial encounter

Billable Code
T40.1X1A
Billable

Diagnostic Criteria

  • • Positive toxicology screen for heroin
  • • Clinical signs of opioid overdose such as respiratory depression

Applicable To

  • • Heroin overdose

Important Notes

  • • Ensure documentation specifies accidental nature to avoid incorrect coding.

Poisoning by unspecified drug, accidental, initial encounter

Billable Code
T50.901A
Billable

Diagnostic Criteria

  • • Lack of specific drug identification in documentation

Applicable To

  • • Unspecified drug overdose

Important Notes

  • • Avoid using this code if the specific drug is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

J96.00

Acute respiratory failure, unspecified whether with hypoxia or hypercapnia

Use to document respiratory failure resulting from heroin overdose.

Frequently Asked Questions

What is the ICD-10 code for accidental overdose?

The ICD-10 code for accidental overdose depends on the specific substance involved, such as T40.1X1A for heroin. Use T50.901A for unspecified drugs.

How do you document an accidental overdose?

Document the specific drug, dosage, route of administration, and confirm the accidental nature of the overdose to ensure accurate coding.

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