Toxic effect of venom of brown recluse spider, slf-hrm, init

This code signifies a patient presenting with adverse systemic or localized effects resulting from the venom of a brown recluse spider, where the exposure was deliberately self-inflicted. The "initial encounter" indicates that this code is used for the first time the patient is receiving active treatment for this specific poisoning.

Apply this code when a patient is admitted or seen for treatment of symptoms directly attributable to brown recluse spider venom, and the medical record clearly documents that the patient intentionally caused the spider to bite them as an act of self-harm. This would include scenarios where the patient is experiencing necrosis, pain, or other systemic reactions following a self-induced bite.

• Always sequence this code first if it is the primary reason for the encounter.
• Requires additional codes for any associated mental health conditions (e.g., depression, suicidal ideation) if documented.
• Ensure documentation explicitly states "intentional self-harm" and specifies "brown recluse spider" as the source of the venom.