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2025 ICD-10-CM code T36.1X1S

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

The aftercare Z codes should be used to code the aftercare of sequela. Use an external cause code from Chapter 20 to fully explain the cause and intent of the poisoning.

Medical necessity for the use of this code must be substantiated by the ongoing medical care required to treat the sequelae.The documentation must support the need for treatment and should indicate the severity and impact of the long-term health issues on the patient's life.

Clinicians should document the specific type of cephalosporin or beta-lactam antibiotic involved, the date of the original poisoning incident, and a detailed description of the sequelae the patient is experiencing.The documentation must support the medical necessity of continued treatment for the lasting effects of the poisoning.

In simple words: This code indicates that the patient is experiencing long-term health problems following an accidental overdose of cephalosporin or similar antibiotics.

This code describes the long-term consequences or residual effects resulting from accidental poisoning by cephalosporin or other beta-lactam antibiotic drugs.It indicates that the patient is experiencing ongoing health issues as a direct result of the past poisoning incident.

Example 1: A patient was accidentally given an excessive dose of cephalosporin in the past and now experiences chronic kidney disease as a result., A child unintentionally ingested a large quantity of amoxicillin and now has persistent neurological problems., An elderly patient took an incorrect dosage of a beta-lactam antibiotic, leading to long-term gastrointestinal issues.

Documentation should include details about the initial poisoning event, the specific drug and dosage involved, evidence of accidental ingestion, and the ongoing symptoms or conditions directly linked to the poisoning.It is crucial to establish a clear cause-and-effect relationship between the poisoning and the current health problems.

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