tci ED Coding & Reimbursement Alert - 2001 Issue 8

Poisoning or Adverse Effect of a Drug Steers Diagnosis Coding

The key to receiving proper reimbursement for medication poisoning depends entirely on whether the patient took a drug correctly or inappropriately. The ED physician must first determine if the patient suffers from a poisoning or an adverse reaction to a drug.   An adverse effect occurs when a medication is properly administered and correctly prescribed and the patient has an ill effect. A poisoning should be coded if drugs, medications or other substances that are not used in accordance with a physician's instruction cause the reaction.  Reporting Poisoning  The Table of Drugs and Chemicals, which is after...

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