Toxic eff of organophos and carbamate insect, slf-hrm, init

This code signifies a patient presenting with adverse health effects resulting from deliberate self-poisoning with organophosphate or carbamate insecticides. These substances are potent neurotoxins, and exposure can lead to a cholinergic crisis affecting various organ systems. Symptoms often include excessive salivation, lacrimation, urination, defecation, gastrointestinal upset, emesis, and muscle fasciculations.

Apply this code when documentation clearly indicates a patient intentionally ingested, inhaled, or otherwise exposed themselves to organophosphate or carbamate insecticides with the intent to cause self-harm. This code is appropriate for the initial visit where the poisoning is first evaluated and treated. Subsequent encounters for ongoing treatment of the same poisoning would utilize a different encounter character.

• Ensure documentation explicitly states "intentional self-harm" or similar language to support the intent.
• Verify the specific type of insecticide is an organophosphate or carbamate; other insecticide poisonings have different codes.
• Always assign additional codes for specific manifestations of the toxic effect, such as respiratory failure or seizures.