Poisoning by tramadol, self-harm, initial encounter

This code signifies a patient presenting with adverse effects resulting from the deliberate self-administration of tramadol with the intent to cause harm. The patient is in the acute phase of treatment for this poisoning event.

Apply this code when documenting an overdose or other toxic reaction to tramadol where the patient explicitly states or clinical evidence strongly suggests the ingestion was an intentional act of self-harm. This is appropriate for the initial hospital visit or encounter where the poisoning is first evaluated and treated.

• Always assign an additional code for the specific manifestation of the poisoning (e.g., coma, respiratory depression).
• Do not use this code for accidental poisoning or therapeutic underdosing/overdosing; different codes apply for those scenarios.
• Ensure documentation clearly supports the "intentional self-harm" intent and that this is the first encounter for this specific poisoning episode.