Adverse effect of macrolides, sequela

This code signifies a long-term or residual condition resulting from a past adverse reaction to a macrolide antibiotic. It indicates that the initial adverse effect has resolved, but a permanent or chronic health problem persists as a direct consequence.

Apply this code when documenting a patient presenting with a chronic condition, such as permanent hearing loss or persistent liver damage, that is definitively attributed to a previous adverse reaction to a macrolide. This is used when the acute adverse effect itself is no longer active but has left a lasting impact.

• Always sequence this code after the code for the specific sequela (e.g., H91.0- for ototoxic hearing loss).
• Ensure documentation clearly links the current chronic condition to a past macrolide adverse effect.
• Do not use this code for acute or ongoing adverse effects; those require codes from the T36.3X5A or T36.3X5D categories.