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

This code signifies a toxic reaction to manganese or its compounds resulting from a deliberate act of self-harm. The "subsequent encounter" designation indicates that the patient is receiving follow-up care for the initial poisoning event. This could involve ongoing treatment for organ damage, neurological sequelae, or psychological support related to the self-inflicted injury.

Apply this code when a patient presents for follow-up treatment of manganese poisoning that was intentionally self-inflicted. This includes scenarios where the patient is being monitored for chronic effects, undergoing rehabilitation, or receiving psychiatric evaluation and treatment after the acute phase of the poisoning has passed. It is used after the initial encounter for the acute poisoning.

• Always sequence this code after the primary diagnosis for the specific manifestation of the manganese toxicity.
• Ensure documentation clearly states "intentional self-harm" and that the encounter is for follow-up care.
• Do not use for initial acute poisoning; refer to the appropriate "initial encounter" code for that scenario.