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v1.0.0
ICD-10 Guide
DiagnosesAugmentin Allergy

Augmentin Allergy

ICD-10 Coding for Augmentin Allergy(T36.0X5A, T36.1X5A, Z88.0, Z88.1)

PRIMARY SPECIALTYAllergy and Immunology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Augmentin Allergy?
Essential facts and insights about Augmentin Allergy

Key Clinical Considerations:

  • Urticaria or rash after Augmentin administration
  • Positive skin test for penicillin or Augmentin components
  • Respiratory symptoms such as wheezing or difficulty breathing

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of allergic reactions to Augmentin
  • Details of symptoms and onset after drug exposure
  • Results of allergy testing and physical examination findings

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for allergic reactions versus adverse drug reactions.
  • Common errors include misclassifying the severity of the allergy.

Code Exclusions

Important Exclusions

  • Other drug allergies not related to Augmentin
  • Alternative codes for non-allergic drug reactions

Related ICD-10 Codes

Primary Codes
T88.1
Allergy, unspecified, due to adverse effect of drug, not elsewhere classified
Ancillary Codes
Z88.0
Z88.1
Differential Codes
T36.1X5A
T36.0X5A

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Allergy and Immunology

Specialty Applications

  • Patients with a history of penicillin allergies
  • Clinical settings including outpatient allergy clinics and emergency departments

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document patient history, symptoms, and any allergy testing results.

Billing considerations?

Ensure accurate coding to reflect the allergy diagnosis for proper reimbursement.