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2025 ICD-10-CM code T49.2X6S

Underdosing of local astringents and local detergents, sequela.

Use secondary codes from Chapter 20, External causes of morbidity (V01-Y99), to indicate the cause of the initial underdosing (e.g., accidental, intentional self-harm, assault). Use additional codes to identify any retained foreign body, if applicable (Z18.-).

Medical necessity should be established by demonstrating a clear causal link between the underdosing and the development of the sequela. The documentation should justify the need for further treatment of the sequela due to complications arising from the initial underdosing.

In simple words: This code indicates a late effect (sequela) due to previously underdosing a medicine used on the skin or mucous membranes for its cleansing and constricting properties.

Underdosing of local astringents and local detergents, sequela. This code represents a condition resulting from a previous underdosing of local astringents and detergents. Astringents and detergents are substances used for their cleansing and constricting properties, and underdosing can lead to various complications.

Example 1: A patient had a minor skin abrasion that required a local astringent for wound healing. Due to underdosing, the wound didn’t heal properly and developed a chronic infection, now requiring further treatment., A patient with a skin rash was prescribed a local detergent to cleanse the affected area. Insufficient dosage led to persistent irritation and secondary infection, resulting in a chronic skin condition., A patient with a mouth sore was prescribed a local astringent. The underdosing led to the sore not healing correctly, developing into a chronic ulcer that now requires more intensive treatment.

Documentation should include details about the initial incident of underdosing, the specific astringent or detergent involved, and the subsequent condition or sequela that developed as a direct result of the underdosing. Any related treatments or interventions should also be documented.

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