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Home/Diagnosis/ICD-10 Coding for Amoxicillin Allergy

ICD-10 Coding for Amoxicillin Allergy

T36.0X5A
Z88.0

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

Also Known as:
Penicillin Allergy
Beta-lactam Allergy
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Key Information: ICD-10 Coding for Amoxicillin Allergy

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

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 adverse reaction symptoms following amoxicillin administration
coding:
  • • Use of 7th character 'A' for initial encounter

Applicable To

  • • Adverse reaction to amoxicillin

Important Notes

  • • Ensure correct sequencing of T36.0X5A before symptom codes.

Personal history of allergy to penicillin

Billable Code
Z88.0
Billable

Applicable To

  • • History of allergy to amoxicillin

Important Notes

  • • Ensure no current reaction is documented when using Z88.0.
Ancillary Codes

Additional codes that may be used with this diagnosis

L50.0

Allergic urticaria

Use to document urticaria as a symptom of an adverse reaction to amoxicillin.

Frequently Asked Questions

What is the ICD-10 code for amoxicillin allergy?

The ICD-10 code for an adverse reaction to amoxicillin is T36.0X5A, used for initial encounters with documented adverse effects.

How do you document an amoxicillin allergy?

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

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