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

This code signifies a toxic reaction to chromium or its compounds resulting from a deliberate act of self-harm, specifically when the patient is receiving follow-up care for this condition. It indicates that the initial treatment for the poisoning has already occurred, and the patient is now in a recovery or monitoring phase.

Apply this code when a patient presents for ongoing management, such as follow-up appointments, monitoring for long-term effects, or treatment of complications, after an intentional self-poisoning with chromium. This includes situations where the patient is being seen by a psychiatrist or therapist for the underlying self-harm behavior following the acute toxic event.

• Ensure the encounter is for follow-up care, not the initial acute treatment.
• Verify documentation clearly states "intentional self-harm" as the intent of the poisoning.
• Always sequence this code after any codes for the specific manifestations or complications of the chromium toxicity.