Poisoning by salicylates

This code signifies an adverse health effect resulting from the ingestion, absorption, or exposure to salicylates, such as aspirin or methyl salicylate, in toxic amounts. It encompasses both accidental and intentional overdoses, leading to systemic effects.

Apply this code when documentation clearly indicates a patient presents with symptoms of salicylate toxicity, such as tinnitus, metabolic acidosis, hyperthermia, or altered mental status, directly attributable to salicylate exposure. Supporting documentation includes toxicology reports, medication lists, and physician notes detailing the overdose event and its clinical manifestations.

• Always sequence this poisoning code first, followed by codes for any associated manifestations or complications (e.g., metabolic acidosis).
• Distinguish from adverse effects of properly administered salicylates (e.g., gastric irritation), which would typically be coded with an E-code for adverse effect and a symptom code.
• Ensure the documentation specifies "poisoning" or "overdose" rather than simply an adverse reaction to therapeutic use.