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Home/Diagnosis/ICD-10 Coding for Acetaminophen Allergy

ICD-10 Coding for Acetaminophen Allergy

T39.1X5A
T78.4XXA
T78.2XXA

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

Also Known as:
Paracetamol Allergy
Tylenol Allergy
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Key Information: ICD-10 Coding for Acetaminophen Allergy

Essential facts and insights about ICD-10 Coding for Acetaminophen Allergy

Use ICD-10 code T39.1X5A for adverse effect of 4-aminophenol derivatives (acetaminophen), initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Adverse effect of 4-aminophenol derivatives (acetaminophen), initial encounter

Billable Code
T39.1X5A
Billable

Diagnostic Criteria

  • • Adverse reaction following correct administration of acetaminophen

Applicable To

  • • Adverse effect of acetaminophen

Important Notes

  • • Ensure documentation specifies the adverse effect was due to correct administration.

Allergy, unspecified, initial encounter

Non-Billable
T78.4XXA
Non-Billable

Diagnostic Criteria

  • • Symptoms consistent with an allergic reaction, such as rash or swelling.

Applicable To

  • • Allergic reaction NOS

Important Notes

  • • Ensure documentation specifies the allergic reaction was due to acetaminophen.

Anaphylactic shock, initial encounter

Billable Code
T78.2XXA
Billable

Diagnostic Criteria

  • • Symptoms of anaphylaxis such as hypotension, bronchospasm.

Applicable To

  • • Anaphylaxis due to drug

Important Notes

  • • Ensure documentation specifies anaphylaxis was due to acetaminophen.

Allergic urticaria

Billable Code
L50.0
Billable

Diagnostic Criteria

  • • Presence of hives following acetaminophen administration.

Applicable To

  • • Hives due to allergy

Important Notes

  • • Ensure documentation specifies urticaria was due to acetaminophen.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z88.6

Allergy status to analgesic agent

Use to document the patient's known allergy status to acetaminophen.

Frequently Asked Questions

What is the ICD-10 code for acetaminophen allergy?

The ICD-10 code for an adverse effect of acetaminophen is T39.1X5A, paired with codes like T78.4XXA for unspecified allergy or T78.2XXA for anaphylactic shock.

How do you code an allergic reaction to acetaminophen?

Code the specific reaction (e.g., T78.4XXA for unspecified allergy) and pair it with T39.1X5A for the adverse effect of acetaminophen.

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