Name of the Condition

• Blood alcohol level of 80-99 mg/100 ml
• ICD Code: Y90.4

Summary

This condition indicates a measurable level of alcohol present in the blood, roughly translating to a blood alcohol concentration (BAC) of 0.08% to 0.099%. This level suggests significant impairment of driving abilities and judgment, often legally considered as intoxication.

Causes

• Consumption of alcoholic beverages.
• Ingestion of products containing ethanol.

Risk Factors

• Age: Young adults and teenagers are at higher risk.
• Social and cultural norms that promote alcohol consumption.
• History of alcohol use disorder or binge drinking.
• Peer pressure, particularly in social settings.

Symptoms

• Impaired judgment and reaction times.
• Reduced motor coordination.
• Slurred speech.
• Lack of inhibition.
• Vomiting or nausea at higher levels.

Diagnosis

• Blood alcohol concentration (BAC) testing, such as breathalyzers or blood tests.

  Treatment Options

• Supportive care to prevent injury or aspiration.
• Monitoring vital signs until the alcohol level decreases.
• Hydration and rest.

Prognosis and Follow-Up

• Recovery is typically complete once alcohol is metabolized; however, chronic overuse can lead to health issues.
• Importance of addressing any underlying substance use disorders through counseling or rehabilitation programs.

Complications

• Risk of accidents and injuries due to impaired judgment.
• Alcohol poisoning if consumption continues unchecked.
• Development of chronic alcohol use disorders.

Lifestyle & Prevention

• Moderation or abstention from alcohol consumption.
• Education on the effects of alcohol.
• Designated drivers or use of ride-sharing services to prevent impaired driving.

When to Seek Professional Help

• Inability to wake the person up.
• Slow or irregular breathing.
• Seizures or loss of consciousness.
• If you suspect alcohol poisoning.

Additional Resources

• National Institute on Alcohol Abuse and Alcoholism (NIAAA)
• Alcoholics Anonymous (AA)
• Centers for Disease Control and Prevention (CDC) Alcohol Program

Tips for Medical Coders

• Ensure to use the correct code, Y90.4, which specifically pertains to blood alcohol levels of 80-99 mg/100 ml.
• Cross-check with clinical notes or lab results for accurate coding.
• Be cautious of similar codes for different BAC levels or related conditions due to varying legal definitions and medical interpretations.