Twenty-three-month-old Jamee Jones was found by his mother to have an empty bottle of naproxen. The mother is unsure whether Jamee took any of the pills or where the pills are. Jamee is brought in for work-up. All the labs come back normal, and the examination does not find any evidence that Jamee swallowed any of the pills. What code(s) is/are assigned?

Question

Quizplus · Accepted Answer

The most appropriate code in this scenario is Z03.6 (Encounter for observation for suspected exposure to other nonbiological substances, ruled out). This code is used when a patient is brought in for observation following suspected exposure to a nonbiological substance but no evidence of exposure is found during examination or testing. Since all labs and examinations have come back normal and there is no evidence that Jamee actually ingested any of the pills, this code accurately reflects the encounter. C, T39.311A, is not appropriate as there is no evidence of toxicity or poisoning. D is not appropriate as T39.311A is not significant.

Twenty-Three-Month-Old Jamee Jones Was Found by His Mother to Have