Toxic effect of gadolinium, assault, sequela

This code signifies a long-term or residual health problem resulting from a toxic reaction to gadolinium, where the exposure was due to an intentional act of harm by another person. The patient is experiencing persistent symptoms or conditions directly attributable to the gadolinium toxicity, which occurred in the context of an assault.

Use this code when documenting a patient presenting with chronic or lasting effects of gadolinium toxicity, and the medical record clearly indicates the initial exposure was the result of an assault. This applies to follow-up encounters for conditions such as nephrogenic systemic fibrosis or other organ damage that developed after the initial toxic event.

• Always sequence this code after the code(s) for the specific sequelae being treated.
• Ensure the medical record explicitly documents both the gadolinium toxicity and the assault as the cause.
• A "sequela" code indicates a late effect; do not use for acute toxicity.