Underdosing is a clinical concept new to ICD-10. Underdosing identifies situations referring to the practice of a patient taking less medication as prescribed by a physician, or a physician prescribing less than what is prescribed by the manufacturer, resulting in poor patient outcomes.
Inappropriate prescribing by the physician
Patient was prescribed medication to treat a condition and the patient was not compliant
Either deliberately or inadvertently, the patient did not take the medication as prescribed by their physician or took a reduced amount
36 YO Female came in complaining of sharp pains on the right side of her back. Patient was seen previously and treated for a UTI. Patient states she did not finish her medication (tetracycline), which resulted in pyelonephritis (Kidney infection).
Diagnosed as follows:
N10 - Acute tubulo-interstitial nephritis
This event triggered or was prolonged due to this circumstance
T36.4X6A - Underdosing of tetracyclines, initial
underdosing code assigned as secondary
The appropriate 7th character is to be added to each code from category T36
A - initial encounter
D - subsequent encounter
S - sequela
This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.
If you would like a specific article written on a medical coding and billing topic, please Contact Us.
Find A Code, LLC
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)