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Home/Diagnosis/ICD-10 Coding for Allergic Reaction to Medication

ICD-10 Coding for Allergic Reaction to Medication

T36.0X5A
L27.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for allergic reaction to medication includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Drug Allergy
Medication Hypersensitivity
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Key Information: ICD-10 Coding for Allergic Reaction to Medication

Essential facts and insights about ICD-10 Coding for Allergic Reaction to Medication

Use ICD-10 code T36.0X5A for adverse effect of penicillins, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Adverse effect of penicillins, initial encounter

Billable Code
T36.0X5A
Billable

Diagnostic Criteria

clinical:
  • • Confirmed immune-mediated reaction to penicillin
documentation:
  • • Detailed documentation of reaction and drug involved

Applicable To

  • • Allergic reaction to penicillin

Important Notes

  • • Ensure to document the specific drug and reaction details.

Generalized skin eruption due to drugs and medicaments taken internally

Billable Code
L27.0
Billable

Diagnostic Criteria

clinical:
  • • Documented skin eruption following drug intake

Applicable To

  • • Drug-induced rash

Important Notes

  • • Ensure to specify the drug causing the eruption.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z88.0

Personal history of allergy to penicillin

Use to document historical allergy status without current reaction.

Frequently Asked Questions

How do you code an allergic reaction to medication?

Use T36-T50 codes with a 5th character '5' for adverse effects, plus a specific reaction code like L27.0 for skin eruptions.

What is the ICD-10 code for drug-induced rash?

The ICD-10 code for a drug-induced rash is L27.0, which covers generalized skin eruptions due to drugs.

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