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Home/Diagnosis/ICD-10 Coding for High-Risk Medications

ICD-10 Coding for High-Risk Medications

T88.7XXA
Z79.899

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

Also Known as:
High-Risk Drugs
Potentially Inappropriate Medications
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Key Information: ICD-10 Coding for High-Risk Medications

Essential facts and insights about ICD-10 Coding for High-Risk Medications

Use ICD-10 code T88.7XXA for adverse effect of drug or medicament, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Adverse effect of drug or medicament, initial encounter

Billable Code
T88.7XXA
Billable

Diagnostic Criteria

  • • Presence of adverse symptoms directly linked to medication use

Applicable To

  • • Adverse drug reaction

Important Notes

  • • Ensure documentation specifies the drug and the adverse effect.

Other long-term (current) drug therapy

Billable Code
Z79.899
Billable

Diagnostic Criteria

  • • Documentation of long-term use without adverse effects

Applicable To

  • • Long-term use of high-risk medications

Important Notes

  • • Ensure the chronic condition requiring the medication is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z91.89

Other specified personal risk factors

Use to document risk factors associated with high-risk medication use.

Frequently Asked Questions

What is the ICD-10 code for adverse effects of high-risk medications?

The ICD-10 code for adverse effects of high-risk medications is T88.7XXA for initial encounters.

How do you document long-term use of high-risk medications?

Use Z79.899 for documenting long-term use of high-risk medications without current adverse effects.

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