Poisoning by oth estrogens and progestogens, self-harm, init

This diagnosis code signifies a patient presenting with adverse effects resulting from the deliberate ingestion or administration of estrogens or progestogens, or a combination thereof, with the explicit intent of self-harm. The "initial encounter" designation indicates that this is the first time the patient is receiving active treatment for this specific poisoning event.

Apply this code when documentation clearly states a patient intentionally overdosed on hormonal medications such as birth control pills, hormone replacement therapy, or other estrogen/progestogen preparations, and is currently undergoing initial evaluation and management for the poisoning. This includes emergency department visits, initial inpatient admissions, or the first outpatient visit for this specific event.

• Ensure documentation explicitly states "intentional self-harm" or similar phrasing to differentiate from accidental poisoning or adverse effects of therapeutic use.
• Confirm the substance involved is an estrogen, progestogen, or a combination; do not use for other hormonal agents.
• The "A" in the seventh character signifies an initial encounter for active treatment of the poisoning.