Adverse effect of glucocort/synth analog, subs

This code indicates a harmful or undesirable reaction to glucocorticoid medications or their synthetic counterparts, occurring during a follow-up visit after the initial treatment or adverse event. These adverse effects can range from metabolic disturbances (e.g., hyperglycemia, osteoporosis) to dermatological issues (e.g., skin thinning) or psychiatric symptoms.

Use this code when a patient presents for ongoing management or evaluation of a previously identified adverse effect from glucocorticoid therapy. This applies to situations where the patient is seen for monitoring, treatment adjustments, or resolution of the adverse reaction after the initial encounter where the adverse effect was first documented.

• Always sequence this code after the code for the specific adverse effect (e.g., E11.9 for steroid-induced diabetes).
• Ensure documentation clearly states the adverse effect is due to glucocorticoid use and that it's a subsequent encounter.
• Distinguish from poisoning (T36-T50 with 1 as the 5th or 6th character) or underdosing (T36-T50 with 6 as the 5th or 6th character).