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Home/Diagnosis/ICD-10 Coding for Medication Allergy

ICD-10 Coding for Medication Allergy

T36.0X5A
Z88.0

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

Also Known as:
Drug Allergy
Pharmaceutical Allergy
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Key Information: ICD-10 Coding for Medication Allergy

Essential facts and insights about ICD-10 Coding for Medication 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 symptoms like urticaria or anaphylaxis after drug administration
documentation:
  • • Detailed documentation of the allergic reaction and its management

Applicable To

  • • Allergic reaction to penicillins

Important Notes

  • • Ensure documentation clearly differentiates between adverse effects and poisoning.

Personal history of allergy to penicillin

Billable Code
Z88.0
Billable

Diagnostic Criteria

documentation:
  • • Patient-reported history of penicillin allergy

Applicable To

  • • History of penicillin allergy

Important Notes

  • • Ensure the history is documented clearly in the patient's medical record.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z88.0

Personal history of allergy to penicillin

Use to document a history of penicillin allergy.

Frequently Asked Questions

How do you code a medication allergy in ICD-10?

Use T36-T50 codes with a fifth character 5 for current allergic reactions and Z88 codes for historical allergies.

What is the ICD-10 code for penicillin allergy?

For a current reaction, use T36.0X5A. For a history of allergy, use Z88.0.

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