AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 4; New/Revised ICD-10-CM Codes

Synthetic Narcotics

New codes have been created at subcategory T40.4, Poisoning by, adverse effect of and underdosing of other synthetic narcotics, to uniquely identify the specific opioids such a fentanyl or fentanyl analogs (T40.41-), tramadol (T40.42-) and other synthetic narcotics (T40.49-). The resulting 54 new codes (including the corresponding 7th characters) will support improved surveillance and health services to inform federal and state-level prevention and intervention programs to address the current opioid epidemic. Pharmaceutical fentanyl is a synthetic opioid pain reliever approved for treating severe pain, typically advanced cancer pain, and is 50 to 100 times...

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