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2025 ICD-10-CM code T36.1X1A

Accidental poisoning by cephalosporins and other beta-lactam antibiotics, initial encounter.

Use secondary code(s) from Chapter 20 (External causes of morbidity) to indicate the cause of injury/poisoning unless the cause is included in the code itself. If there is a retained foreign body, use an additional code from the Z18 series. Do not use this code for birth trauma (P10-P15) or obstetric trauma (O70-O71).

Medical necessity is established by the signs, symptoms, and diagnoses related to the poisoning. Treatment provided should be documented and medically necessary.

It is the physician’s responsibility to document the specific cephalosporin or beta-lactam antibiotic involved, the route of administration, and any related signs, symptoms, or diagnoses.

In simple words: Accidental overdose or wrong administration of cephalosporin or beta-lactam antibiotics during the first encounter.

Poisoning by cephalosporins and other beta-lactam antibiotics, accidental (unintentional), initial encounter.

Example 1: A patient accidentally takes a double dose of their prescribed cephalexin and presents to the emergency department with nausea and vomiting., A child ingests their grandparent's amoxicillin and is brought to the clinic for evaluation and treatment., A patient receives an incorrect dose of ceftriaxone during surgery and experiences an allergic reaction.

Documentation should include the type of antibiotic, the route and amount of ingestion/administration, the time of the incident, details of the adverse effects experienced, and any treatment provided.

** This code is for the initial encounter and should only be used for the first visit related to the accidental poisoning. Subsequent encounters should be coded with T36.1X1D.

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