ICD-10 Coding for Intentional Overdose(T40.4X2A)
Complete ICD-10-CM coding and documentation guide for Intentional Overdose. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Intentional Overdose
T36-T50Primary Range
Poisoning by drugs, medicaments and biological substances
This range includes codes for poisoning by various substances, with the 6th character '2' indicating intentional self-harm.
Key Information: ICD-10 code for intentional overdose
Essential facts and insights about Intentional Overdose
Primary ICD-10-CM Code for intentional overdose
Decision Criteria
clinical Criteria
- Confirmed overdose with suicidal intent
Applicable To
- Intentional fentanyl overdose
Excludes
- Accidental poisoning by synthetic narcotics
Clinical Validation Requirements
- Serum fentanyl >3 ng/mL
- Documented intent of self-harm
Code-Specific Risks
- Misclassification of intent can lead to incorrect coding.
Coding Notes
- Ensure documentation specifies intent and substance for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Respiratory arrest
R09.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Poisoning by cannabis, intentional self-harm
T40.7X2ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Intentional Overdose to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T40.4X2A.
Impact
Clinical: Leads to misinterpretation of patient condition., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Always clarify intent in documentation.
Impact
Reimbursement: Incorrect sequencing can affect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always sequence poisoning code first unless provider states otherwise.
Impact
Lack of clear documentation on intent can lead to audit issues.
Mitigation Strategy
Ensure all documentation includes explicit statements of intent.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Intentional Overdose, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Intentional Overdose
Use these documentation templates to ensure complete and accurate documentation for Intentional Overdose. These templates include all required elements for proper coding and billing.
Emergency Department Note
Specialty: Emergency MedicineRequired Elements
- Patient statement of intent
- Substance involved
- Clinical findings
- Treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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