Toxic effect of gadolinium, intentional self-harm, sequela

This code signifies the long-term or residual effects resulting from a deliberate act of self-poisoning with gadolinium. It indicates that the acute phase of the poisoning has passed, and the patient is now experiencing chronic health issues directly attributable to the prior intentional exposure.

Apply this code when documenting conditions such as persistent renal impairment, neurological deficits, or skin changes (e.g., nephrogenic systemic fibrosis) that are sequelae of a past intentional overdose or self-administration of gadolinium. This code is appropriate for follow-up encounters addressing these chronic complications.

• Always sequence this code after the code for the specific sequela being treated (e.g., chronic kidney disease).
• Ensure documentation clearly links the current condition to a past intentional gadolinium exposure.
• Do not use this code for acute poisoning; refer to the appropriate acute poisoning code for the initial event.