Toxic effect of chewing tobacco, intentional self-harm, subs

This code signifies a subsequent encounter for a patient who intentionally self-harmed by ingesting or otherwise using chewing tobacco, resulting in a toxic effect. It indicates that the patient is receiving follow-up care or treatment for the adverse health consequences stemming from this deliberate act.

Apply this code when documenting subsequent visits for a patient being treated for the toxic effects of chewing tobacco, where the initial exposure was a deliberate act of self-harm. This includes follow-up appointments for symptom management, monitoring of organ damage, or ongoing treatment related to the initial poisoning event.

• Ensure the documentation clearly states "intentional self-harm" and that the substance involved was chewing tobacco.
• Verify that this is a subsequent encounter, not the initial presentation for the toxic effect.
• Always code the specific toxic effect(s) of the chewing tobacco as additional diagnoses.