Poisoning by tramadol, assault, initial encounter

This code signifies a patient presenting with adverse effects resulting from an intentional overdose or malicious administration of tramadol by another party. The patient is in the acute phase of treatment for this poisoning.

Apply this code when documentation clearly indicates tramadol poisoning due to an assault, such as a forced overdose or intentional contamination. This is appropriate for the initial hospital visit or encounter where the poisoning is first evaluated and treated.

• Always sequence this code first for the poisoning event.
• Requires an additional code for the specific manifestations of the poisoning (e.g., coma, respiratory depression).
• Ensure documentation explicitly states "assault" as the intent, not accidental or self-harm.