Toxic effect of chromium and its compounds, self-harm, init

This code signifies a patient presenting with adverse health effects resulting from the purposeful ingestion, inhalation, or dermal exposure to chromium or its compounds, with the intent to cause self-harm. The toxic effects can range from gastrointestinal distress and kidney damage to respiratory issues, depending on the specific chromium compound and route of exposure.

Apply this code when documenting the initial assessment and treatment of a patient who has deliberately poisoned themselves with chromium. This includes cases where the patient explicitly states suicidal intent or where the circumstances strongly suggest intentional self-harm, such as an overdose.

• Always assign an additional code for the specific manifestation of the toxic effect (e.g., acute kidney failure, gastritis).
• Ensure documentation clearly supports intentional self-harm; if accidental, a different intent character (e.g., A for accidental) would be used.
• This "initial encounter" character is used for the entire period a patient is receiving active treatment for the toxic effect.