ICD-10-CM Billable Code

T37.4X1

Poisoning by anthelminthics, accidental (unintentional)

Clinical Classification Guidelines

Inclusion Terms

  • Poisoning by anthelminthics NOS

Medical Intelligence & Overview

ICD-10 code T37.4X1 refers to accidental poisoning caused by anthelmintics, which are medications used to treat parasitic worm infections. This type of poisoning occurs when an individual unintentionally ingests or is exposed to these drugs in a way that leads to harmful effects. Recognizing the causes, symptoms, and potential outcomes of such poisoning helps in understanding its impact, although it should not replace professional medical advice.

Causes & Symptoms

Clinical Causes: Accidental ingestion of anthelmintic medications, especially in children who might mistake pills for candy Misuse or incorrect dosing of anthelmintics, such as taking more than the prescribed amount Lack of proper storage of medications, leading to accidental exposure Confusion between different medications, resulting in improper administration Unintentional exposure through contaminated food or water containing traces of the drugs

Key Symptoms: Nausea and vomiting Abdominal pain or discomfort Diarrhea or gastrointestinal upset Dizziness or lightheadedness Headache Rashes or allergic skin reactions Weakness or fatigue Signs of nervous system effects, such as confusion or tremors in severe cases In extreme cases, symptoms may progress to seizures or respiratory issues

Diagnostic & Treatment

Diagnosis Path: Diagnosing accidental anthelmintic poisoning involves a thorough medical history and physical examination. Healthcare providers may look for recent ingestion of medications, especially in children or vulnerable populations. Laboratory tests, including blood and urine analyses, can detect the presence of the drug and assess the extent of poisoning. In some cases, additional imaging or specific toxin assays may be performed to evaluate organ involvement or confirm exposure.

Treatment Protocols: Treatment primarily focuses on managing symptoms and preventing further absorption of the toxin. This may include supportive measures such as intravenous fluids, medications to control nausea or seizures, and monitoring vital signs. In some cases, activated charcoal may be administered to reduce absorption if the poisoning is recent. Specific antidotes are not generally used for anthelmintic poisoning, making supportive care essential. Hospitalization may be necessary in severe cases to provide close monitoring and advanced interventions.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is T37.4X1 a billable ICD-10 code?
Yes, T37.4X1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report T37.4X1?
Clinical documentation must specify the nature of Poisoning by anthelminthics, accidental (unintentional) and any associated comorbidities for accurate reporting.

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