2024 ICD-10-CM Diagnosis Code T41.3X5
Adverse effect of local anesthetics
- ICD-10-CM Code:
- T41.3X5
- ICD-10 Code for:
- Adverse effect of local anesthetics
- Is Billable?
- Not Valid for Submission
- Code Navigator:
T41.3X5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of adverse effect of local anesthetics. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding Applicable to Adverse effect of local anesthetics
Non-specific codes like T41.3X5 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for adverse effect of local anesthetics:
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Adverse reaction to peripheral nerve and plexus blocking anesthetic
- Adverse reaction to spinal anesthetic
- Adverse reaction to surface and infiltration anesthetic
- Adverse reaction to tetracaine
- Benzocaine adverse reaction
- Bupivacaine adverse reaction
- Cinchocaine adverse reaction
- Class I antiarrhythmic adverse reaction
- Lidocaine adverse reaction
- Local anesthetic drug adverse reaction
- Mechanical strabismus
- Mechanical strabismus due to disorder of skeletal muscle caused by local anesthetic
- Myopathy caused by local anesthetic
- Oxybuprocaine adverse reaction
- Prilocaine adverse reaction
- Procaine adverse reaction
- Proxymetacaine adverse reaction
Clinical Information
Acupuncture Analgesia
analgesia produced by the insertion of acupuncture needles at certain acupuncture points on the body. this activates small myelinated nerve fibers in the muscle which transmit impulses to the spinal cord and then activate three centers - the spinal cord, midbrain and pituitary/hypothalamus - to produce analgesia.Adjuvants, Anesthesia
agents that are administered in association with anesthetics to increase effectiveness, improve delivery, or decrease required dosage.Anesthesia
a state characterized by loss of feeling or sensation. this depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.Anesthesia and Analgesia
medical methods of either relieving pain caused by a particular condition or removing the sensation of pain during a surgery or other medical procedure.Anesthesia Department, Hospital
hospital department responsible for the administration of functions and activities pertaining to the delivery of anesthetics.Anesthesia Recovery Period
the period of emergence from general anesthesia, where different elements of consciousness return at different rates.Anesthesia, Cardiac Procedures
a range of methods used to induce unconsciousness; analgesia; and muscle relaxation during cardiac procedures.Anesthesia, Caudal
epidural anesthesia administered via the sacral canal.Anesthesia, Closed-Circuit
inhalation anesthesia where the gases exhaled by the patient are rebreathed as some carbon dioxide is simultaneously removed and anesthetic gas and oxygen are added so that no anesthetic escapes into the room. closed-circuit anesthesia is used especially with explosive anesthetics to prevent fires where electrical sparking from instruments is possible.Anesthesia, Conduction
injection of an anesthetic to inhibit nerve transmission in a specific part of the body.Anesthesia, Dental
a range of methods used to reduce pain and anxiety during dental procedures.Anesthesia, Endotracheal
procedure in which an anesthetic such as a gas or mixture of gases is inhaled through a tube into the lungs.Anesthesia, Epidural
procedure in which an anesthetic is injected into the epidural space.Anesthesia, General
procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.Anesthesia, Inhalation
anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract.Anesthesia, Intravenous
process of administering an anesthetic through injection directly into the bloodstream.Anesthesia, Local
a blocking of nerve conduction to a specific area by an injection of an anesthetic agent.Anesthesia, Obstetrical
a variety of anesthetic methods such as epidural anesthesia used to control the pain of childbirth.Anesthesia, Rectal
procedure involving the instillation of an anesthetic into the rectum.Anesthesia, Spinal
procedure in which an anesthetic is injected directly into the spinal cord.Anesthetists
persons trained and certified to administer anesthetics.Balanced Anesthesia
the use of several anesthetics together in small amounts, as opposed to a larger amount of one drug, to induce loss of sensation and loss of consciousness.Brachial Plexus Block
a blocking of neural conduction in the network of nerve fibers innervating the upper extremity.Cervical Plexus Block
a blocking of neural conduction in the network of nerve fibers innervating the neck and shoulder.Cryoanesthesia
anesthesia achieved by lowering either body temperature (core cooling) or skin temperature (external cooling).Electronarcosis
profound stupor produced by passing an electric current through the brain.Emergence Delirium
a form of delirium which occurs after general anesthesia.Intraoperative Awareness
occurence of a patient becoming conscious during a procedure performed under general anesthesia and subsequently having recall of these events. (from anesthesiology 2006, 104(4): 847-64.)Malignant Hyperthermia
rapid and excessive rise of temperature accompanied by muscular rigidity following general anesthesia.Treatment Refusal
patient or client refusal of or resistance to medical, psychological, or psychiatric treatment. (apa, thesaurus of psychological index terms, 8th ed.)Benzocaine
a surface anesthetic that acts by preventing transmission of impulses along nerve fibers and at nerve endings.Bupivacaine
a widely used local anesthetic agent.Dibucaine
a local anesthetic of the amide type now generally used for surface anesthesia. it is one of the most potent and toxic of the long-acting local anesthetics and its parenteral use is restricted to spinal anesthesia. (from martindale, the extra pharmacopoeia, 30th ed, p1006)Etidocaine
a local anesthetic with rapid onset and long action, similar to bupivacaine.Lidocaine
a local anesthetic and cardiac depressant used as an antiarrhythmia agent. its actions are more intense and its effects more prolonged than those of procaine but its duration of action is shorter than that of bupivacaine or prilocaine.Lidocaine, Prilocaine Drug Combination
a topical local anesthetic preparation that is composed of a mixture of lidocaine and prilocaine. it is used to provide anesthesia during minor surgery and for the treatment of premature ejaculation.Mepivacaine
a local anesthetic that is chemically related to bupivacaine but pharmacologically related to lidocaine. it is indicated for infiltration, nerve block, and epidural anesthesia. mepivacaine is effective topically only in large doses and therefore should not be used by this route. (from ama drug evaluations, 1994, p168)Prilocaine
a local anesthetic that is similar pharmacologically to lidocaine. currently, it is used most often for infiltration anesthesia in dentistry.Carboxylesterase
carboxylesterase is a serine-dependent esterase with wide substrate specificity. the enzyme is involved in the detoxification of xenobiotics and the activation of ester and of amide prodrugs.Penicillin G Procaine
semisynthetic antibiotic prepared by combining penicillin g with procaine.Procainamide
a class ia antiarrhythmic drug that is structurally-related to procaine.Procaine
a local anesthetic of the ester type that has a slow onset and a short duration of action. it is mainly used for infiltration anesthesia, peripheral nerve block, and spinal block. (from martindale, the extra pharmacopoeia, 30th ed, p1016).Propoxycaine
a local anesthetic of the ester type that has a rapid onset of action and a longer duration of action than procaine hydrochloride. (from martindale, the extra pharmacopoeia, 30th ed, p1017)Tetracaine
a potent local anesthetic of the ester type used for surface and spinal anesthesia.Trimecaine
acetanilide derivative used as a local anesthetic.
Coding Guidelines
When coding an adverse effect of a drug that has been correctly prescribed and properly administered, assign the appropriate code for the nature of the adverse effect followed by the appropriate code for the adverse effect of the drug.
The appropriate 7th character is to be added to each code from block Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases (T41). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Table of Drugs and Chemicals
The code is referenced in the Table of Drugs and Chemicals, this table contains a classification of drugs, industrial solvents, corrosive gases, noxious plants, pesticides, and other toxic agents.
According to ICD-10-CM coding guidelines it is advised to do not code directly from the Table of Drugs and Chemicals, instead always refer back to the Tabular List when doing the initial coding. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. It is important to use as many codes as necessary to specify all reported drugs, medicinal or chemical substances. If the same diagnosis code describes the causative agent for more than one adverse reaction, poisoning, toxic effect or underdosing, utilize the code only once.
Patient Education
Drug Reactions
Most of the time, medicines make our lives better. They reduce aches and pains, fight infections, and control problems such as high blood pressure or diabetes. But medicines can also cause unwanted reactions, such as drug interactions, side effects, and allergies.
What is a drug interaction?
A drug interaction is a change in the way a drug acts in the body when taken with certain other drugs, foods, or supplements or when taken while you have certain medical conditions. Examples include:
- Two drugs, such as aspirin and blood thinners
- Drugs and food, such as statins and grapefruit
- Drugs and supplements, such as gingko and blood thinners
- Drugs and medical conditions, such as aspirin and peptic ulcers
Interactions could cause a drug to be more or less effective, cause side effects, or change the way one or both drugs work.
What are side effects?
Side effects are unwanted, usually unpleasant, effects caused by medicines. Most are mild, such as a stomachache, dry mouth, or drowsiness, and go away after you stop taking the medicine. Others can be more serious. Sometimes a drug can interact with a disease that you have and cause a side effect. For example, if you have a heart condition, certain decongestants can cause you to have a rapid heartbeat.
What are drug allergies?
Drug allergies are another type of reaction. They can range from mild to life-threatening. Skin reactions, such as hives and rashes, are the most common type. Anaphylaxis, a serious allergic reaction, is less common.
How can I stay safe when taking medicines?
When you start a new prescription or over-the-counter medicine, make sure you understand how to take it correctly. Know which other medicines, foods, and supplements you need to avoid. Always talk to your health care provider or pharmacist if you have questions about your medicines.
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Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.