Icd 10 code for chemotherapy induced nausea and vomiting

Thank you Jeff!

Table of Contents Show

What is the ICD
What is the correct ICD
What is chemotherapy induced nausea and vomiting?
What is the ICD

Comparing the coding clinic to your scenario:
Coding Clinic: "it is incorrect to assume that all cases of drug induced diarrhea are due to gastroenteritis"

No assumption necessary: "The MD diagnosis the patient with colitis likely due to chemotherapy"

K52.1 Includes note says "Drug-induced gastroenteritis and colitis".

Is the coder insisting you are violating the coding clinic because you are "assuming"? You aren't assuming...the diagnosis is right there so this coding clinic does not apply. The coding clinic was addressing "Drug induced diarrhea". This is irrelevant...that is not what you have documented. In this particular chart, the doctor already said it was "drug-induced colitis"..there is no reason to even question if "drug induced diarrhea is the same as toxic gastroenteritis"....he said toxic colitis, not drug induced diarrhea.

Drugs

Aprepitant

This medication is an antiemetic, prescribed for prevention of acute and delayed chemotherapy-induced nausea and vomiting (CINV) for prevention of postoperative nausea and vomiting and it is used with other medications to prevent nausea and vomiting that may occur within 24 hours after receiving cancer chemotherapy treatment. Aprepitant works by blocking one of the body's natural substances (substance P/neurokinin 1) that causes vomiting

Dimenhydrinate

This medication is an antihistamine and anticholinergic agent, prescribed for nausea, vomiting, and dizziness caused by motion sickness.

Diphenidol

This medication is an antiemetic and an antivertigo agent, prescribed for nausea and vomiting. The medication inhibits the receptor activity to control nausea and vomiting. It is also used in the treatment of Meniere�s disease.

Dolasetron Mesylate Injection

This medication is a serotonin 5-HT3 receptor antagonist, prescribed for the prevention of nausea and vomiting associated with chemotherapy.

Domperidone

This medication is an antidopaminergic agent, used in treating nausea, vomiting, gastrointestinal problems and Parkinson�s disease.

Doxylamine Succinate and Pyridoxine Hydrochloride

This combination medication is used to treat nausea and vomiting or morning sickness in pregnant women who do not respond to conservative management.

Dronabinol

This medication is a cannabinoid, prescribed for nausea and vomiting due to cancer and chemotherapy and for anorexia (loss of appetite) in HIV patients.

Droperidol

This medication is a tranquilizer (dopamine receptor antagonism), prescribed for nausea and vomiting.

Granisetron

This medication is an antiemetic, prescribed for nausea and vomiting associated with chemotherapy drugs.

Hyoscine

This medication is an anticholinergic agent, prescribed for gastrointestinal disorder and mydriasis.

Metoclopramide

This medication is a gastrointestinal stimulant and antinauseant, prescribed for heartburn and esophagitis due to GERD and for treating patients who have gastroparesis (partial paralysis of the stomach) and prevention of nausea and vomiting associated with cancer chemotherapy.

Nabilone

This medication is a synthetic cannabinoid, prescribed for nausea and vomiting caused by cancer chemotherapy and used as an adjunct analgesic for nerve pain.

Omeprazole and Domperidone

This combination medication contains a proton pump inhibitor and antidopaminergic agent, prescribed for ulcers, indigestion and acid stomach.

Ondansetron

This medication is a 5-HT3 receptor antagonist, prescribed for nausea and vomiting caused by cancer chemotherapy, radiation therapy and surgery. It blocks serotonin receptors in the vomiting center and on nerves supplying the digestive system.

Palonosetron

This medication is 5-HT3 receptor blocker, prescribed for prevention of chemotherapy-induced nausea and vomiting.

Prochlorperazine

This medication is a tranquilizer, prescribed for schizophrenia, severe nausea and vomiting.

Promethazine

This medication is an antihistamine and antiemetic, prescribed for allergic conditions, prevention of motion sickness, and to control nausea and vomiting during and after surgery.

Scopolamine

This medication is an anticholinergic agent, prescribed for prevention of symptoms of motion sickness such as nausea and vomiting, and recovery from anesthesia and surgery. It is also used to treat certain types of muscle spasm problems (eg. Parkinsonism) and certain stomach or intestinal problems (eg, irritable bowel syndrome). It may be used as eye drops in cases of eye inflammation.

Thiethylperazine

This medication is a phenothiazine, prescribed for nausea and vomiting.

Trimethobenzamide

This medication is an antiemetic agent, prescribed for nausea and vomiting.

What is the ICD

ICD-10 code T45. 1X5A for Adverse effect of antineoplastic and immunosuppressive drugs, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

What is the correct ICD

ICD-10 code R11. 2 for Nausea with vomiting, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is chemotherapy induced nausea and vomiting?

An estimated 80% of patients with cancer will experience chemotherapy-induced nausea and vomiting (CINV). ¹. The term CINV includes emesis and nausea, which can involve a loss of appetite and result in decreased oral intake of fluids and calories. ¹. Prevention is the primary goal in the management of CINV.

What is the ICD

1 for Encounter for antineoplastic chemotherapy and immunotherapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .