Discussion on Diagnostic and External Cause Coding for Adverse Effects of Anti-tuberculous Drugs
There are various types of anti-tuberculosis drugs,many of which have harmful effects.Common harmful effects include neurological reactions,liver function damage,gastrointestinal reactions,circulatory disorders,cardiac dysfunction,musculoskeletal system reactions,rash and hearing loss,and decreased vision.In ICD-10,the codes for the external causes of adverse effects of anti-tuberculosis drugs are mostly queried using the drug name as the leading word.If the drug name cannot be directly queried,the drug category,namely anti mycobacterial drugs or antibiotics,is used as the leading word for querying.For the harmful effects caused by the simultaneous use of multiple anti-tuberculosis drugs,if the multiple drugs are of the same category,the drug category is used as the leading word for the search;If the harmful effects caused by isoniazid and rifampicin are encoded as"Y40.6 harmful effects of rifampicin class";If the harmful effects are caused by other anti-mycobacterial drugs and systemic antibiotics,it is necessary to code the external factors of the harmful effects of anti-mycobacterial drugs and systemic antibiotics separately.In coding practice,attention should be paid to distinguishing the conceptual differences between harmful effects and poisoning and clarifying the types of poisoning.In practical work,it is necessary to strengthen the reading of medical records,actively communicate with clinical physicians,and accurately fill in the harmful effects of anti-tuberculosis drugs and their external cause codes.
Anti-tuberculosis drugsAdverse effectsExternal factors of injury and poisoning
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