Valid for Submission
T45.614D is a billable diagnosis code used to specify a medical diagnosis of poisoning by thrombolytic drug, undetermined, subsequent encounter. The code T45.614D is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code T45.614D might also be used to specify conditions or terms like poisoning by streptokinase, poisoning by urokinase, streptokinase overdose, streptokinase overdose of undetermined intent, streptokinase poisoning of undetermined intent , urokinase overdose, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
T45.614D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like poisoning by thrombolytic drug undetermined. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
When coding a poisoning or reaction to the improper use of a medication (e.g., overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories T36-T50. The poisoning codes have an associated intent as their 5th or 6th character (accidental, intentional self-harm, assault and undetermined. If the intent of the poisoning is unknown or unspecified, code the intent as accidental intent. The undetermined intent is only for use if the documentation in the record specifies that the intent cannot be determined. Use additional code(s) for all manifestations of poisonings.
The appropriate 7th character is to be added to each code from block Primarily systemic and hematological agents, NEC (T45). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Poisoning by streptokinase
- Poisoning by urokinase
- Streptokinase overdose
- Streptokinase overdose of undetermined intent
- Streptokinase poisoning of undetermined intent
- Urokinase overdose
- Urokinase overdose of undetermined intent
- Urokinase poisoning of undetermined intent
Diagnostic Related Groups - MS-DRG Mapping
Present on Admission (POA)
Convert T45.614D to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code T45.614D its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include
- Prescription or over-the-counter medicines taken in doses that are too high
- Overdoses of illegal drugs
- Carbon monoxide from gas appliances
- Household products, such as laundry powder or furniture polish
- Indoor or outdoor plants
- Metals such as lead and mercury
The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.
- Poisoning (Medical Encyclopedia)
- Poisoning first aid (Medical Encyclopedia)
- Toxicology screen (Medical Encyclopedia)
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