Poisoning by oth hormones and synthetic sub, self-harm, init

This code signifies a deliberate act of self-poisoning involving hormones or synthetic hormonal substitutes, excluding insulin and adrenal cortical steroids. It indicates that the patient intentionally ingested, injected, or otherwise administered these substances with the intent to cause harm to themselves. This code is specifically for the initial phase of treatment for such an event.

Use this code when documenting the initial encounter for a patient who has intentionally overdosed on or misused hormones or synthetic hormone substitutes (e.g., thyroid hormones, sex hormones, growth hormones). This applies to situations where the patient admits to self-harm or when clinical evidence strongly suggests an intentional act. It is appropriate for the first visit or admission related to this specific poisoning event.

• Ensure documentation clearly states "intentional self-harm" and specifies the substance as a hormone or synthetic substitute (excluding those with specific codes).
• Verify that this is the "initial encounter" for the poisoning event; subsequent care would use the appropriate subsequent encounter code.
• Always code the specific hormone or synthetic substitute if known and a more precise code is available, otherwise use this code for "other."