Dx for penicillin testing

loramarrs

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If we are testing a patient for a penicillin allergy due to a patient's reaction to penicillin which occurred months or years prior to the test, is it more appropriate to report a history of penicillin allergy code (V14.0), or an adverse effect code of 995.27 with E930.0?
 

btadlock1

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If we are testing a patient for a penicillin allergy due to a patient's reaction to penicillin which occurred months or years prior to the test, is it more appropriate to report a history of penicillin allergy code (V14.0), or an adverse effect code of 995.27 with E930.0?
Your primary diagnosis would probably be:
V72.7 Diagnostic skin and sensitization tests (Allergy tests)
I'd use V14.0 as a secondary diagnosis.

I see where the index refers you to 995.27 for drug allergy, but I'm not certain you'd use it in this situation - I would think that poisoning codes are more appropriate for acute episodes, when the patient is experiencing an allergic reaction, but I could be wrong about that. Hope that helps! ;)
 
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