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Z88.8
ICD-10-CM
Iodine Allergy

Learn about iodine allergy diagnosis, including clinical documentation, medical coding (ICD-10-CM, SNOMED CT), symptoms, testing, and treatment. Find information on iodine allergy reactions, contrast media allergy, and povidone-iodine allergy for healthcare professionals, coders, and patients. Understand the difference between iodine allergy and iodine intolerance, and explore resources for accurate medical recordkeeping and billing related to iodine hypersensitivity.

Also known as

Iodinated Contrast Allergy
Contrast Media Allergy

Diagnosis Snapshot

Key Facts
  • Definition : Hypersensitivity reaction to iodine exposure.
  • Clinical Signs : Hives, itching, swelling, breathing difficulty, anaphylaxis.
  • Common Settings : Contrast media imaging, seafood consumption, antiseptic use.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z88.8 Coding
T78.40-T78.49

Allergy, unspecified

Adverse reaction to iodine-containing substances.

Z88.0

Allergy status to drugs, medicaments and biological substances

Personal history of allergy to iodine or iodine-containing substances.

T80.0-T88.9

Complications following infusion, transfusion and therapeutic injection

Complications like an allergic reaction after receiving iodine contrast.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Allergy to iodine confirmed?

  • Yes

    Any systemic reaction?

  • No

    Do not code iodine allergy. Code the presenting symptoms and/or reason for visit.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Iodine allergy
Contrast media reaction
Seafood allergy

Documentation Best Practices

Documentation Checklist
  • Iodine allergy documented reaction type
  • Specific iodine-containing agent identified
  • Alternative contrast/antiseptic noted
  • Onset, duration, severity details
  • ICD-10-CM code Z88.0 documented

Mitigation Tips

Best Practices
  • Document specific iodine-containing agent (ICD-10 T78.40, Z88.0).
  • Differentiate allergy vs. reaction (e.g., contrast media). Improve CDI.
  • Skin test for true allergy; avoid unnecessary restrictions. HCC compliance.
  • Query physician for detailed reaction info, supporting ICD-10 accuracy.
  • Educate patients on allergy vs. intolerance for informed consent. Coding best practices.

Clinical Decision Support

Checklist
  • Confirm iodine exposure source (contrast, povidone-iodine, etc.)
  • Document specific reaction details (timing, symptoms, severity)
  • Consider alternative diagnoses mimicking allergy (e.g., anxiety)
  • Review medication list for iodine-containing drugs
  • If true allergy suspected, document allergy type and severity

Reimbursement and Quality Metrics

Impact Summary
  • Iodine Allergy: Coding accuracy impacts reimbursement for contrast studies, influencing hospital revenue cycle management.
  • Miscoded iodine allergy can lead to denied claims, impacting hospital finances and patient responsibility.
  • Proper documentation of iodine allergy severity improves quality reporting metrics for patient safety and care.
  • Accurate iodine allergy coding facilitates appropriate alternative imaging choices, impacting quality and cost metrics.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Document iodine reaction type
  • Code Z88.0 for allergy history
  • Query physician if unclear
  • Use ICD-10-CM T78.4 for adverse effect
  • Confirm allergy via chart review

Documentation Templates

Patient presents with suspected iodine allergy.  Symptoms reported include urticaria, pruritus, angioedema, skin rash, itching, swelling, respiratory distress, dyspnea, wheezing, nausea, vomiting, abdominal pain, diarrhea, hypotension, andor anaphylaxis following exposure to iodine-containing substances.  Potential iodine exposure sources documented include contrast media for CT scan or angiogram, povidone-iodine antiseptic solution, certain medications, andor dietary intake of iodine-rich foods like seaweed.  Differential diagnosis considered iodine hypersensitivity, seafood allergy, and other allergic reactions.  Allergy testing including skin prick test andor serum specific IgE antibody test for iodine may be indicated.  Diagnosis of iodine allergy is based on clinical presentation, history of exposure, and positive allergy testing if performed.  Treatment plan includes avoidance of iodine-containing substances, premedication with antihistamines and corticosteroids prior to necessary iodine exposure if unavoidable, and emergency management of anaphylaxis with epinephrine injection if it occurs.  Patient education provided on iodine allergy management, avoidance strategies, and emergency preparedness.  ICD-10 code T78.40XA, adverse effect of unspecified drug, medicinal and biological substance, initial encounter, may be applicable depending on specific circumstances.  CPT codes for allergy testing and evaluation may also be applicable.  Follow-up recommended for ongoing monitoring and management of iodine allergy.
Iodine Allergy - AI-Powered ICD-10 Documentation