T39.1X2S Poisoning by 4-Aminophenol derivatives, intentional self-harm, sequela

ICD10CM code

#### Name of the Condition
- Poisoning by 4-Aminophenol Derivatives, Intentional Self-Harm, Sequela (ICD-10 Code: T39.1X2S)

#### Summary
- This condition refers to the harmful effects arising from the intentional ingestion or exposure to 4-aminophenol derivatives—such as acetaminophen—with the intent of self-harm, resulting in lasting or subsequent effects. 

#### Causes
- The primary cause is the intentional intake or overdose of medications containing 4-aminophenol derivatives, often used in over-the-counter pain relievers like acetaminophen.

#### Risk Factors
- History of mental health disorders, previous suicide attempts, easy access to the drug, and a lack of social support can increase risk.

#### Symptoms
- Symptoms can include nausea, vomiting, abdominal pain, confusion, jaundice, and liver failure in serious cases.

#### Diagnosis
- Diagnosis typically involves reviewing the patient’s history, blood tests to measure acetaminophen levels and liver function tests.

#### Treatment Options
- Treatments may include activated charcoal to prevent absorption, N-acetylcysteine (NAC) to mitigate liver damage, supportive care, and mental health intervention.

#### Prognosis and Follow-Up
- With prompt treatment, the prognosis can be good, but severe cases can lead to chronic liver damage or failure. Regular follow-up is crucial for mental health and liver function monitoring.

#### Complications
- Potential complications include acute liver failure, chronic liver disease, or even death if not managed promptly.

#### Lifestyle & Prevention
- Safe medication practices, mental health support, avoiding misuse of medications, and therapy can prevent occurrences.

#### When to Seek Professional Help
- Immediate medical attention is needed if there's suspicion of overdose or if the person exhibits severe symptoms like jaundice or confusion.

#### Additional Resources
- The American Liver Foundation and Mental Health America for support and information.

#### Tips for Medical Coders
- Ensure the correct identification of the medication involved and the intent (self-harm) for accurate coding. Avoid mixing this code with accidental or undetermined intent codes.

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