Poisoning by local astringents and local detergents

This code signifies an adverse health effect resulting from exposure to or ingestion of substances primarily used for topical application as astringents (e.g., witch hazel, alum) or detergents (e.g., household cleaning agents, soaps). The poisoning can manifest with various symptoms depending on the substance, route of exposure, and quantity, ranging from localized irritation to systemic toxicity.

Apply this code when documentation clearly indicates a patient has experienced poisoning due to contact with or ingestion of a local astringent or detergent. This typically occurs in accidental exposures, particularly in pediatric populations, or in cases of intentional self-harm. Supporting documentation should specify the substance involved and the resulting clinical effects.

• Always code the specific substance responsible for the poisoning if known, using an E-code (e.g., E863.x for accidental poisoning by soaps and detergents).
• Sequence this poisoning code as the primary diagnosis when it is the reason for the encounter.
• Distinguish from allergic reactions or adverse effects of properly administered therapeutic agents, which are coded differently.