tci ED Coding & Reimbursement Alert - 2023 Issue Q1

Reader Questions: Choose Toxicity Type Before Coding for Chemo Px

Question: A patient came in complaining of vomiting following chemotherapy. The chemotherapy agent was taken as prescribed by the patient’s oncologist. Do I code this as if the patient is experiencing poisoning, toxic effect, or just an adverse reaction? Oregon Subscriber Answer: To code this scenario correctly, start your search at the ICD-10-CM Table of Drugs and Chemicals. Find explanations of the different types of drug toxicity below: Adverse effect: Problem that arises after taking a drug that has been correctly prescribed and properly administered Poisoning: Reaction to the improper use of a medication Underdosing: Taking less of...

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