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

This code signifies a long-term or residual health problem resulting from a brown recluse spider bite that was intentionally self-inflicted. It indicates that the acute phase of the toxic effect has passed, but the patient continues to experience lasting consequences, such as chronic pain, scarring, or tissue damage.

Apply this code when documenting a patient presenting with a sequela (e.g., chronic ulcer, significant scarring, persistent neuropathy) directly attributable to a brown recluse spider envenomation that was determined to be an act of intentional self-harm. This code is appropriate for follow-up encounters addressing these persistent issues, not for the initial acute injury.

• Always sequence this code after the primary diagnosis for the specific sequela being treated.
• Ensure documentation clearly states the brown recluse spider as the source of the venom and confirms the intentional self-harm intent.
• Do not use this code for acute toxic effects; refer to the appropriate acute T63.332_ codes for initial encounters.