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Updated the List of Reportable Codes for Drug Overdose Reporting (DOR)

Tennessee Department of Health (TDH) has Updated the List of Reportable Codes for Drug Overdose Reporting (DOR)

Effective January 3rd 2021, the Drug Overdose Reporting (DOR) List of Reportable Diagnosis codes was updated to include new Opioid-related ICD-10-CM codes. This update reflected changes made as a result of the ICD-10-CM Coordination and Maintenance Committee for federal fiscal year 2021. The T40.4X[1-4] coding structure for synthetic narcotics of unintentional, intentional self-harm, assault, and undetermined intent were revised. The changes allow for more specific reporting of drug overdoses involving synthetic opioids for initial and subsequent encounters. In particular, it allows the TDH to identify drug overdoses involving fentanyl, which has become more important to understand as overdoses involving fentanyl have increased rapidly in the last five years. Please ensure that your hospital is including the new codes when reporting drug overdoses to TDH. For more information and to obtain the full List of Reportable Diagnosis codes see the TDH Drug Overdose Reporting website. The new ICD-10-CM codes are indicated with an asterisk.

Now more than ever, it is important for Tennessee’s hospitals to report to TDH. We want to remind hospitals of their responsibility to continue reporting the reportable condition, Drug Overdose, to TDH weekly. Hospitals are required to report drug overdoses to TDH, regardless of the age of the patient experiencing the overdose or the intent, which include prescription or illicit, intentional, undetermined, or accidental drug overdoses. Full guidance on the Reportable Diseases Rules and Regulations can be found here. If the COVID-19 pandemic is impacting your organization’s normal operations and therefore affecting your ability to report to DOR weekly, please notify the DOR team at [email protected]. Please include DOR Reporting Impact in the subject line of the email.

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2021 Tennessee Reportable Disease List

The 2021 List of Reportable Diseases in Tennessee, effective January 1, 2021, can be found at the following link: Included are the list of reportable diseases and guidance for healthcare providers and laboratories regarding reporting requirements. Important changes in 2021 include:

Healthcare Providers/Facilities Only:

  • Polio is now immediately notifiable.
  • Multisystem Inflammatory Syndrome in Children is now explicitly reportable.
  • On the 2020 Commissioner’s Letter we notified you that reporting antibiotic use in acute care hospitals through the National Healthcare Safety Network (NHSN) will be required beginning in January 1, 2021.  This requirement has now been delayed until January 1, 2022 due to the burden of the COVID pandemic on healthcare facilities.  As this will require some planning, we are advising hospitals of this in advance to allow adequate preparation. [For more information:]

 Laboratories Only:

  • Colistin-resistant gram-negative bacteria are not explicitly reportable but are now contained under the general heading of pan-unsusceptible organisms.
  • Please see Detailed Laboratory Guidance for additional changes.

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