ICD-10 Coding for Tylenol Overdose(T39.1X1A, K72.0)
Complete ICD-10-CM coding and documentation guide for Tylenol Overdose. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tylenol Overdose
T36-T50Primary Range
Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
This range includes codes for poisoning by acetaminophen, which is the primary concern in Tylenol overdose cases.
Diseases of liver
This range includes codes for liver diseases, which are common complications of acetaminophen overdose.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| T39.1X1A | Poisoning by 4-aminophenol derivatives, accidental (unintentional), initial encounter | Use when the overdose is accidental and there is no acute liver failure. |
|
| K72.0 | Acute and subacute hepatic failure | Use when there is evidence of acute liver failure due to overdose. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for Tylenol overdose
Essential facts and insights about Tylenol Overdose
Primary ICD-10-CM Codes for tylenol overdose
Decision Criteria
clinical Criteria
- Accidental ingestion with no acute liver failure
Applicable To
- Accidental overdose of acetaminophen
Excludes
- Adverse effect of acetaminophen (T39.1X5A)
Clinical Validation Requirements
- Documented accidental ingestion exceeding 4g/day
- ALT <1,000 IU/L
Code-Specific Risks
- Misclassification of intent can lead to incorrect coding.
Coding Notes
- Ensure documentation specifies the intent and context of overdose.
K72.0 - Acute and subacute hepatic failure
Use when there is evidence of acute liver failure due to overdose.
Applicable To
- Acute liver failure due to acetaminophen toxicity
Excludes
- Chronic liver disease (K73-K74)
Clinical Validation Requirements
- ALT >1,000 IU/L
- INR >1.5
Coding Notes
Ensure liver function tests are documented to support coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Tylenol Overdose to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T39.1X1A.
Impact
Clinical: Leads to misclassification of the overdose type., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for claim denials due to incorrect coding.
Mitigation Strategy
Always include the 7th character to specify intent., Review documentation for details on the overdose context.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data for clinical and research purposes.
Mitigation Strategy
Always include the 7th character to indicate intent (e.g., accidental, intentional).
Impact
Failure to document intent can lead to incorrect coding.
Mitigation Strategy
Ensure thorough documentation of the patient's intent and circumstances of the overdose.
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 Tylenol Overdose, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tylenol Overdose
Use these documentation templates to ensure complete and accurate documentation for Tylenol Overdose. These templates include all required elements for proper coding and billing.
Emergency Department Note for Acetaminophen Overdose
Specialty: Emergency MedicineRequired Elements
- Time of ingestion
- Total dose
- Formulation
- Co-ingestants
- 4hr post-ingestion acetaminophen level
- NAC start time
- Mental status
- Hepatic panel
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Tylenol Overdose? Ask your questions below.