tci ED Coding & Reimbursement Alert - 1999 Issue 7

Reader Question: Coding Drug Reactions

Question: We recently had a patient in our ED with an insulin reaction. I have been taught that if the patient takes the insulin incorrectly, we are to use a poisoning code and then the E code, both out of the Table of Drugs and Chemicals (In ICD-9-CM). If the patient has a reaction to insulin and took the drug correctly, you should code the symptoms the patient is having and then the E code out of the Table of Drugs and Chemicals. I have been told to stay out of the Adverse Effect chapter (995 codes), and use...

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