What is the ICD-10 code for Augmentin allergy?

The ICD-10 code for an adverse reaction to Augmentin depends on the component: T36.0X5A for amoxicillin and T36.1X5A for clavulanate.

How do you document an Augmentin allergy?

Document the specific component causing the reaction, symptoms, timing, and test results to ensure accurate coding.

ICD-10 Coding for Augmentin Allergy(T36.0X5A, T36.0X, T36.0)

Save

Learn how to accurately code and document Augmentin allergy using ICD-10 codes, including T36.0X5A and T36.1X5A, with detailed documentation requirements.

Also known as:

Amoxicillin-Clavulanate AllergyBeta-lactam Antibiotic Allergy

Related ICD-10 Code Ranges

Complete code families applicable to Augmentin Allergy

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

→

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
T36.0X5A	Adverse effect of penicillins, initial encounter	Use when the adverse reaction is specifically due to the penicillin component of Augmentin.	Documented adverse reaction to amoxicillin Symptoms such as rash hives or anaphylaxis
T36.1X5A	Adverse effect of other beta-lactam antibiotics, initial encounter	Use when the adverse reaction is specifically due to the clavulanate component of Augmentin.	Documented adverse reaction to clavulanate Symptoms such as rash hives or anaphylaxis
Z88.0	Personal history of allergy to penicillin	Use to document a patient's known allergy to penicillin.	Documented history of allergic reaction to penicillin
Z88.1	Personal history of allergy to other antibiotics	Use to document a patient's known allergy to clavulanate or other non-penicillin antibiotics.	Documented history of allergic reaction to clavulanate

Primary ICD-10-CM Codes

Adverse effect of penicillins, initial encounter

T36.0X5ABillable

Poisoning by, adverse effect of and underdosing of penicillins

T36.0X

Differential Codes

Alternative codes to consider when ruling out similar conditions

Adverse effect of other beta-lactam antibiotics, initial encounterT36.1X

Use when the reaction is due to clavulanate, not amoxicillin.

Adverse effect of penicillins, initial encounterT36.0X

Use when the reaction is due to amoxicillin, not clavulanate.

Documentation & Coding Risks

Avoid these common issues when documenting Augmentin Allergy.

Non-specific documentation of 'Augmentin allergy'

Impact

Clinical: Potential for inappropriate future prescribing, Regulatory: Non-compliance with documentation standards, Financial: Possible claim denials due to vague coding

Mitigation

Train staff on the importance of specific documentation, Use templates that prompt for detailed information

Using Z88.0 for clavulanate allergy

Impact

Reimbursement: Incorrect coding may lead to claim denials, Compliance: Non-compliance with ICD-10 coding guidelines, Data Quality: Inaccurate patient allergy records

Mitigation

Use Z88.1 for clavulanate allergy

Allergy Documentation

Impact

Inadequate documentation of specific drug components causing reactions

Mitigation

Implement detailed documentation protocols and regular audits

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with T36.0X5A.

Primary Code

T36.0X5A

Adverse effect of penicillins, initial encounter

Quick Navigation

ICD-10 codes7

Coding risks3

FAQs2

ICD-10 Coding for Augmentin Allergy(T36.0X5A, T36.0X, T36.0)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for Augmentin allergy?

How do you document an Augmentin allergy?

Related condition guides