tci Part B Insider - 2011 Issue 20

Reader Question: Know the Dx Codes for Self-Inflicted Poisoning

Question: A patient comes to the office after taking 15 Paxil, nine Ativan, and ingesting six or seven cocktails in an attempt to kill herself. She is lethargic, has low blood pressure,and isn't breathing steadily. What codes would describe this situation?Oregon SubscriberAnswer: Because the patient is having difficulty breathing, the physician would likely perform a stomach lavage and order an electrocardiogram. She then would read the EKG and perform a complete history and physical exam. Because the patient is too lethargic to participate, the doctor would probably speak to the family and ask them to rummage through...

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