Y90.7 Blood alcohol level of 200-239 mg/100 ml

ICD10CM code

#### Name of the Condition
- Blood alcohol concentration of 200-239 mg/100 ml
- Also known as significant acute alcohol intoxication.

#### Summary
A blood alcohol level of 200-239 mg/100 ml indicates significant intoxication from alcohol consumption, affecting physical and cognitive functions. This level can lead to severe impairment, recognizable symptoms, and increased risk of harm.

#### Causes
- Consuming large quantities of alcohol in a short period.
- Binge drinking behaviors.

#### Risk Factors
- High alcohol tolerance.
- History of heavy drinking or alcohol use disorder.
- Social and peer pressure leading to excessive drinking.

#### Symptoms
- Slurred speech, impaired motor skills, and lack of coordination.
- Altered mental status, including confusion and reduced inhibitions.
- Nausea, vomiting, and possible unconsciousness.

#### Diagnosis
- Blood alcohol concentration (BAC) testing using a breathalyzer, blood, or urine sample.
- Assessment of physical and mental symptoms indicative of intoxication.

#### Treatment Options
- Acute management may include observation, hydration, and supportive care.
- In severe cases, hospitalization to monitor vital signs and prevent complications.
- Long-term strategies might involve counseling or rehabilitation for alcohol use disorder.

#### Prognosis and Follow-Up
- Once treated, physical symptoms resolve without long-term effects in acute cases.
- Regular check-ups may be necessary for individuals with repeated episodes to prevent future occurrences.

#### Complications
- Risk of accidents and injuries due to impaired functioning.
- Potential for alcohol poisoning necessitating emergency intervention.
- Long-term liver damage and development of chronic alcohol use disorders.

#### Lifestyle & Prevention
- Limit alcohol intake and avoid binge drinking.
- Engage in social activities that do not revolve around alcohol.
- Educate oneself on the effects of alcohol and safe consumption limits.

#### When to Seek Professional Help
- In cases of severe intoxication, unresponsiveness, or breathing difficulties.
- If the individual is at risk of harm to themselves or others.
- Habitual excessive drinking warranting interventions or counseling.

#### Additional Resources
- National Institute on Alcohol Abuse and Alcoholism (NIAAA)
- Alcoholics Anonymous (AA) support groups

#### Tips for Medical Coders
- Ensure accurate determination of BAC levels from medical records for correct coding.
- Be vigilant of overlapping symptoms with other conditions to avoid misclassification.

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