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Q&A: Coding adverse effects versus poisonings

Q: I’m trying to decide between the codes F14.121 (Cocaine abuse with intoxication with delirium) and T40.5X5A (Adverse effect of cocaine, initial encounter). The patient presented to the emergency department with altered mental status. The physician documented that the patient's delirium is likely due to toxidrome from cocaine. Which code would be more appropriate?

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