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Home/Diagnosis/ICD-10 Coding for Allergy to Amoxicillin

ICD-10 Coding for Allergy to Amoxicillin

T36.0X5A
Z88.0

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

Also Known as:
Amoxicillin Hypersensitivity
Penicillin Allergy
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Key Information: ICD-10 Coding for Allergy to Amoxicillin

Essential facts and insights about ICD-10 Coding for Allergy to Amoxicillin

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:
  • • Presence of immediate hypersensitivity reaction
documentation:
  • • Detailed description of reaction and timing

Applicable To

  • • Adverse effect of amoxicillin

Important Notes

  • • Ensure documentation specifies adverse effect and timing relative to drug administration.

Personal history of allergy to penicillin

Billable Code
Z88.0
Billable

Diagnostic Criteria

clinical:
    documentation:

      Applicable To

      • • History of amoxicillin allergy

      Important Notes

      • • Ensure history is verified and documented.
      Ancillary Codes

      Additional codes that may be used with this diagnosis

      L23.0

      Allergic contact dermatitis due to antibiotics

      Use with T36.0X5A when contact dermatitis is present.

      Frequently Asked Questions

      What is the ICD-10 code for an allergy to amoxicillin?

      The ICD-10 code for an adverse reaction to amoxicillin is T36.0X5A for initial encounters. For historical allergy without current symptoms, use Z88.0.

      How do you document an amoxicillin allergy?

      Document the type of reaction, timing, and specific symptoms. Use T36.0X5A for current reactions and Z88.0 for historical allergies.

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