Toxic effect of gadolinium, self-harm, subsequent encounter

This code signifies a poisoning or adverse reaction specifically due to gadolinium, where the patient deliberately ingested or administered the substance with the intent to harm themselves. This particular code is used for encounters following the initial treatment of the self-inflicted gadolinium toxicity.

Apply this code when a patient presents for follow-up care, monitoring, or treatment of complications arising from a prior intentional self-poisoning with gadolinium. This includes scenarios such as managing residual kidney damage, neurological symptoms, or other long-term effects after the acute phase has passed.

• Always sequence this code after the primary diagnosis for the specific manifestation of the gadolinium toxicity.
• Ensure documentation clearly states "intentional self-harm" and that the encounter is not the initial treatment.
• Do not use this code for accidental exposures or adverse effects from therapeutic use; those require different codes.