Poisn by antigonadtr/antiestr/antiandrg, NEC, assault, init

This code signifies a deliberate act of poisoning involving medications that interfere with hormone production or action, specifically those affecting gonadotropins, estrogens, or androgens. This includes substances like antiandrogens used in prostate cancer treatment or antiestrogens used in breast cancer therapy, when administered with malicious intent. The patient is in the initial phase of treatment for the acute effects of this poisoning.

Apply this code when documentation clearly indicates a patient has been poisoned by an antigonadotropin, antiestrogen, or antiandrogen as a result of an assault. This would be used for the initial encounter where the patient is receiving active treatment for the toxic effects. Examples include a patient presenting to the emergency department after being forcibly given a large dose of flutamide or tamoxifen by another individual.

• Ensure the documentation explicitly states "assault" as the intent of the poisoning.
• Verify that the substance involved is specifically an antigonadotropin, antiestrogen, or antiandrogen and not another type of hormone antagonist.
• Confirm this is the initial encounter for the poisoning, indicating active treatment is being rendered.