T39.1X2A Poisoning by 4-Aminophenol derivatives, intentional self-harm, initial encounter

ICD10CM code

#### Name of the Condition
- Poisoning by 4-Aminophenol derivatives, intentional self-harm, initial encounter (ICD-10: T39.1X2A)

#### Summary
- This condition describes the poisoning that occurs following the intentional ingestion of 4-aminophenol derivatives, commonly found in medications like acetaminophen. This entry pertains to the initial encounter, where immediate medical intervention is sought.

#### Causes
- The primary cause is the intentional ingestion of an excessive amount of 4-aminophenol derivatives with the intent of self-harm, often as a response to psychological distress or mental health conditions.

#### Risk Factors
- Risk factors include a history of mental health disorders, substance abuse, lack of social support, prior suicide attempts, and significant life stressors or events.

#### Symptoms
- Symptoms of poisoning may include nausea, vomiting, abdominal pain, confusion, jaundice, and in severe cases, liver failure due to the toxic effects on the liver.

#### Diagnosis
- Diagnosis is typically performed through patient history, clinical examination, and blood tests to measure drug levels and assess liver function.

#### Treatment Options
- Treatment includes activated charcoal to limit drug absorption, N-acetylcysteine (NAC) to prevent liver damage, and supportive care in a hospital setting. Psychological evaluation and treatment may also be necessary.

#### Prognosis and Follow-Up
- Prognosis can vary depending on the timing of treatment. Early intervention with NAC significantly improves outcomes. Ongoing psychological support and monitoring are crucial to prevent recurrence.

#### Complications
- Potential complications include acute liver failure, multiple organ dysfunction, and possibly death if not treated promptly. Long-term liver damage may occur in severe cases.

#### Lifestyle & Prevention
- Mental health support, stress management strategies, and avoiding isolation can help reduce the risk. Secure storage of medications can help prevent intentional overdose.

#### When to Seek Professional Help
- Seek immediate medical attention if an overdose is suspected or if symptoms of poisoning arise. Emergency help is critical for any signs of self-harm.

#### Additional Resources
- [American Foundation for Suicide Prevention](https://afsp.org/)
- National Suicide Prevention Lifeline: 1-800-273-8255 (USA)

#### Tips for Medical Coders
- Ensure the coding reflects the intentional self-harm aspect (T39.1X2A) for accuracy in medical records.
- Confirm documentation specifies this is an initial encounter to prevent coding errors.

Similar Codes