Background Recreational use of anabolic-androgenic steroids (AAS) is a public health concern world-wide associated with a range of physical and psychological side effects. There was a strong association between ICS use and local disorders such as. Purpose of review: To give an update on the latest developments regarding rare adverse effects of bisphosphonate therapy. code first followed by the E09 code. 2008 Aug;29(8):679-87. as a subcategory under Y59 Other and unspecified vaccines and biological substances). 995A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The first set of ICD-10 codes was aimed at the broad identification of ADEs. You may report side effects to FDA at 1-800-FDA-1088. 5, T40. Steroid injections can also cause muscle or tendon weakness. Adverse Effects, Poisoning, Underdosing, and Toxic Effects. Purchase a subscription I’m already a subscriber. Under ICD-10 Codes that Support Medical Necessity Group 5: Codes deleted O90. 1: Methadone causing adverse effects in therapeutic use: E935. Steroid use can have specific side effects in the female body in addition to the others listed above, including: deeper voice. 995A became effective on October 1, 2023. The most common chronic effects were skin rash, hypothyroidism, and joint pain. Survival probability is shown for overall steroid (S) and nonsteroid (NS) groups (A) and for the following subgroups: patients in the nonsteroid group who nevertheless had an International Classification of Diseases, Ninth Revision (ICD-9) or International Classification of Diseases, Tenth Revision (ICD-10) codes for immune-related adverse events (irAEs; NS:+irAE), patients in the nonsteroid. This is probably due to the way steroids can: Increase appetite. U12 COVID-19 vaccines causing adverse effects in therapeutic use U12. Thrush can look like white patches anywhere in the mouth, including the tongue. Urticaria (hives) It would seem contradictory, therefore, that the very drugs used to treat these conditions can sometimes cause allergies themselves. Though corticosteroids can be very effective at reducing inflammation and alleviating pain, they do carry many serious side effects. 9 Fever R61 Night sweats R63. general loss of energy. code for adverse effect, if applicable, to identify drug (T36-T50. 822 Immunodeficiency due to external causes Add Code also external cause such as: ~ AddClinical recommendations Evidence rating References; Antiretroviral therapy is recommended in patients with CD4 cell counts of 500 per mm 3 (0. Objective To determine the frequency of prescriptions for short term use of oral corticosteroids, and adverse events (sepsis, venous thromboembolism, fractures) associated with their use. ICD-10-CM diabetes codes are combination codes that include the type of diabetes mellitus, body system affected, and the complications affecting that body system. Dexamethasone can affect growth in children. OTC: Over-the-counter. Revision, Clinical Modification ( ICD-10-CM). Shortness of breath. Adverse effect of oral contraceptives, initial encounter. Hypersensitivity reactions to steroids are broadly divided into two categories: immediate reactions, typically occurring within 1 h of. Osteonecrosis of the jaw may be more likely if you have cancer or received chemotherapy, radiation, or steroids. growth reduction in children or teenagers. The January 1, 2021 ICD-10-CM is available in both PDF (Adobe) and XML file formats. Check with your doctor immediately if any of the following side effects occur while taking hydrocodone: Less common. Serious side effects of Mucinex. Objective: To examine the associations between steroid bursts and severe adverse events, specifically gastrointestinal (GI) bleeding, sepsis, and heart failure. Here, we review and synthesize irAE management recommendations from several oncological societies into a streamlined format to aid in. 4 Abnormal weight loss Adverse Reaction to Medication Therapeutic Drug Monitoring (Drug Levels) Code for Adverse Effect of Specific Use additional code for adverse effect, if applicable, to iden-tify drug (T36–T50) Requires X as a placeholder in 6th position _Add staging codes in 7th position H40. Gastrointestinal side effects have included stomach upset and vomiting with higher than recommended doses. In 2014, the FDA issued a drug safety communication about the epidural injection of glucocorticoids, noting the potential for rare but serious adverse effects, and the effectiveness has not been established. increased urination. 6. Upper respiratory tract infections. Doing so could increase your risk of side effects. This is when your body stops producing cortisol by itself. But don't let weight gain damage your self-esteem. The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. Steroids, aka corticosteroids or glucocorticoids, are powerful medications used to treat a. growth reduction in children or teenagers. The following ICD-10 code(s) have been deleted and therefore have been removed from the Group 1 ICD-10-CM Codes that Support Medical Necessity: M54. Design: Self. published on the NCHS website. Feeling or being sick (nausea or vomiting) Feeling sleepy or tired. Access the full ICD-10 Coding Guide for $9. Psychiatric side effects due to corticosteroids appear to be dose dependent; they occur in 1. weight gain. This is the American ICD-10-CM version of T38. But steroid medicines do have side effects. T40. Nervous system. Steroid nasal sprays do not usually cause any significant side effects if used correctly and at normal doses. 829 for HIT unspecified; you’ll need to use an. severe lack or loss of strength. Call your doctor for medical advice about side effects. The use of steroids is associated with a higher risk of injury to tendons and muscles. Side effects of steroid tablets can include: indigestion or heartburnSome side effects can occur with topical, inhaled, and injected steroids. loss of appetite. Legal, as well as the illegal use of anabolic steroids, is gaining popularity. pain in the chest or groin. 1) ~ Add long term (current) drug therapy (Z79. It works on the immune system to help relieve swelling, redness, itching, and allergic reactions. Solution. 6 micinaH, eger miegi pl with intractable migraine, so stated, without mention of status migrainosusLocal adverse effects occur with prolonged treatment and are based on the topical steroid potency, vehicle, and application site. 917 Poisoning and toxic effects of drugs with mcc; 918 Poisoning and toxic effects of drugs without mcc; Convert T38. Recent findings: Recent studies covering osteonecrosis of the jaw (ONJ) and atypical femoral fractures (AFFs) provided several updates to the literature. g. The “x’s” are placeholders for. Approximate Synonyms. Prednisone is a corticosteroid (cortisone-like medicine or steroid). 1. New code 84. • Skin reactions (i. Metformin side effects (more detail)increased hair growth on the forehead, back, arms, and legs. Code History. The guidelines for coding Neoplasms are below. The ICD-10-CM is based on the ICD -10, the statistical classification of disease published by the World Health Organization (WHO). 2X1 T51. The higher the dose, the greater the risk of side-effects. Anabolic steroid overdose; Anabolic steroid poisoning; Poisoning by anabolic steroid; ICD-10-CM T38. feeling pressure in the stomach. Misuse of anabolic steroids can cause a variety of side effects ranging from mild to harmful or even life-threatening. The frequency of complaints depends on the specific drug, dose, frequency of administration, inhaler technique, and the delivery system used. Anabolic Steroids - Abuse, Side Effects and Safety. These doses are much higher than those that health care providers use for medical reasons. Many athletes take anabolic steroids at doses that are too high. Purpose of review: While immune checkpoint inhibitor (ICI) therapy has improved melanoma patient outcomes, it has also resulted in the rise of unique immune-related adverse events (irAEs). T50. A high. Organ/System Author(s). A short course of 10 milligrams (mg) of prednisone a day may not cause side effects. Traumatic arthritis of left hip following open hip fracture caused by a gunshot wound 2 years ago . Potential side effects include dryness, burning. More than the recommended dose of NSAIDs. Short-term side effects. 5%. ICD-10-CM Coding Examples . Systemic corticosteroid use—such as treatment with prednisone, commonly used in respiratory disorders, rheumatoid arthritis, and other conditions common in older adults—has been associated with psychiatric adverse effects. Hypoglycemic Agents. problems with memory. The second set of ICD-10 codes was more specifically symptom based. In addition, mortality after hip fractures can be 3-4 times higher than in the general population. Introduction: Due to enhanced T-cell activity, immune checkpoint inhibitors cause immune-related adverse effects. Side effects of topical corticosteroids. changes in sex drive. 4%) and 511 (73. Learn about the side effects of cortisone, from common to rare, for consumers and healthcare professionals. The main potential benefits associated with anabolic steroids are the following ( 1 ): increases in muscle tissue due to enhanced protein synthesis. This new edition will be called ICD-11. Glucocorticoids are corticosteroids that bind to the glucocorticoid receptor [1] that is present in almost every vertebrate animal cell. Rx: Prescription only. noisy, rattling breathing. runny nose, sore throat. Design Retrospective cohort study and self controlled case series. Here are seven side effects of steroids every lifter must know. Solution. Anabolic steroids, also known as anabolic-androgenic steroids (AAS), are a class of drugs that are structurally related to testosterone, the main male sex hormone, and produce effects by binding to the androgen receptor. Abdominal discomfort and hot flush was mostly detected on the first week. Example 3: Patient is here for follow-up. The effect of topical ocular steroids on IOP depends on the potency of the drug formulation. Prolonged use has also been associated with cataracts and glaucoma, immunosuppression, muscle wasting, bone changes, fluid shifts, and personality changes. Local bleeding. 905A became effective on October 1, 2023. Dexamethasone can affect growth in children. Table 1. Androgen use. How often and how severe the side effects are can vary from person to person. E09. 82-, “Heparin-induced thrombocytopenia (HIT)," is being subdivided into four new codes, ranging from D75. Background Recreational use of anabolic-androgenic steroids (AAS) is a public health concern world-wide associated with a range of physical and psychological side effects. Adverse effect of glucocorticoids and synthetic analogues, initial encounter T38. softening of the skin. Abnormal fat deposits on the face, neck, and trunk. , psychosis) have been encountered; the long-term use of corticosteroids is more problematic. Men on. tired feeling. These side effects may go away during treatment as your body adjusts to the medicine. Sodium hydroxide or hydrochloric acid may be present to adjust pH to. Here, we review and synthesize irAE management recommendations from several oncological societies into a streamlined format to aid in diagnosis and management. Muscle weakness, steroid myopathy, loss of muscle mass, osteoporosis, vertebral compression fractures, aseptic necrosis of femoral and humoral heads, pathologic fracture of long bones,. Topical corticosteroids are classified by strength and the risk of adverse effects such as atrophy, striae, rosacea, telangiectasias, purpura, and other cutaneous. Side-effects are more likely to occur if you take a long course of oral steroids (more than 2-3 months), or if you take short courses repeatedly. ICD-9-CM and ICD-10-CM Codes of Four Adverse Events and Negative Control Outcome. loss of consciousness. stomach or abdominal pain. corresponding code or category. the 6th character is also used to code 5-adverse effects and 6-underdosing). If you are learning about the side effects, you may find it confusing, since the side effects people experience early on when taking these medications are often the opposite of side effects experienced. Anaphylaxis (a potentially life-threatening allergic reaction) Asthma. Side effects caused by steroid eye drops are listed in Table 1. 61X_ Right eye H40. 83), and T50. 0X5 : S00-T88. In. ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health. These include insomnia, changes in mood, weight gain, and irregular menstrual periods. Heartburn (acid reflux). Analysis of 19 RCTs showed that exposure to ICSs for ≥1 year increased the risk of pneumonia by 41% (risk ratio 1. unusual tiredness or weakness. Flagyl side effects Get emergency medical help if you have signs of an allergic reaction to Flagyl ( hives , itching, warmth or tingling; fever, joint pain; dry mouth, dry vagina; stuffy nose, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat , burning eyes, skin pain, red or purple skin rash. T38. Sequela is the new terminology in ICD-10-CM for late effects in ICD-9-CM and using the sequela seventh character replaces the late effects categories (905–909) in ICD-9-CM. It is used to treat a number of different conditions, such as inflammation (swelling), severe allergies,. eye pain. headache. Steroid medication can weaken your immune system, making it easier for you to get an infection. heart problems. 2024 (effective 10/1/2023): No change. weight gain. T50. sores, ulcers, or white spots on the lips or tongue or inside the mouth. hair loss. 1 Acne. This product is available in the following dosage forms: Tablet. In people with psoriasis using topical steroids it occurs in up to 5% of people after a year of use. 3X1 T51. It works on the immune system to help relieve swelling, redness, itching, and allergic reactions. ICD-10 is a diagnostic coding standard that was adopted by the National Department of Health in 1996 as the national standard for South Africa. Access the full ICD-10 Coding Guide for $9. a. Rarely, they can have side effects such as: Infection; Allergic. 2 Hemoptysis R05 Cough R06. sensation of spinning. excess facial hair in women. Steroids don't tend to cause significant side-effects if they're taken for a short period of time or at a low dose. This review article highlights the adverse effects of different steroid modalities as well as suggests a monitoring tool to determine steroid totality and side effects. 1 Applicable To: Cell membrane receptor complex [CR3] defect Chronic (childhood) granulomatous disease. Because of its water insolubility, Amiodarone is dissolved in polysorbate-80, a substance that may contribute to side effects of the commercially available compound, i. 1 Today, many of the clinical roles of steroids are related to their potent antiinflammatory and immune-modulating properties. Side effects due to the local deposition of inhaled glucocorticoid in the oropharynx and larynx may occur. unusual tiredness or weakness. nausea. The number of available opioid-related diagnosis codes increased from 20 ICD-9-CM codes to 100 ICD-10-CM codes. Change the way the body processes sugar and fat. However, AASs have side effects, involving all organs, tissues and body functions, especially long. These are not all the possible side effects of XOLAIR. Zofran side effects (more detail)Other side effects from systemic steroids may include nervousness, nausea, rapid heartbeat, loss or gain of appetite. liver problems - loss of appetite, stomach pain (upper right side), tiredness, dark urine, jaundice (yellowing of the skin or eyes). The most common side effects of cortisone shots include: Pain at the injection site. B95A, Adverse effect. 0X5: Adverse effect of opium. [3] Therefore, around 7 million patients receive radiotherapy worldwide every year. irritation in the mouth. Other steroid-related side-effects are rare but may include: Infection ( If your joint becomes more painful and hot you should see your doctor immediately, especially if you feel unwell ). code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) correct substance properly administered - see Table of Drugs and Chemicals, by drug, adverse effect overdose or wrong substance given or taken - see Table of Drugs and Chemicals, by drug, poisoningSystemic side effects of steroid nasal sprays include: Nausea or vomiting. 821 for non-immune HIT through D75. 81, history of past noncompliance. menstrual irregularities. Legally prescribed normal-dose anabolic steroids may have the following side. , MD, MMSc, professor of ophthalmology, microbiology, and immunology and clinical director of the Lee. One of the following ICD-10-CM diagnosis codes is required for all CPT codes within this policy with the exception of 95170 and 95180: Group 1 Codes. Short description: Adverse effect of unsp drug/meds/biol. Topical steroid preparations are less effective and should not be used first line. We found a total of 827 individual ICD-10 codes that have been used in the health literature to identify adverse drug events (see supplementary appendix B, available online only, for the complete list of codes). Side-effects of topical steroidsSerious side effects of Hydrocodone. Some abusers pyramid their doses in 6-12-week. loss in sexual ability, desire, drive, or performance. as a subcategory under Y59 Other and unspecified vaccines and biological substances). Use additional code: For adverse effect, if applicable, to identify drug. This can cause many side effects, such as: high blood pressure. First. The blue steroid treatment card has details of your treatment and how you can reduce the risks of side effects. Some side effects may occur that usually do not need medical attention. ICD-10-CM diagnosis codes. trouble thinking, speaking, or walking. U12 COVID-19 vaccines causing adverse effects in therapeutic use U12. Women may also experience:Adverse effects of inhaled corticosteroids Am J Med. The ICD-10-CM is based on the ICD -10, the statistical classification of disease published by the World Health Organization (WHO). T50. ICD 10 code for Adverse. The prolonged use of high dose steroids is justified only for severe illnesses that represent serious risks to the patient. It usually starts to work within 24 to 48 hours. g. These codes were more general in nature, for example, ‘Adverse effects of other opioids…’, to help identify any possible ADE. 1 If they didn't have adverse effects, steroids would be the only anti-inflammatory agents we would ever need,” said John D. Methods MEDLINE and Embase databases were. This is not a complete list of side effects and others may occur. vomiting. 1 - Abuse of herbal or folk remedies. fatigue and sleeping problems. Prednisone provides relief for inflamed areas of the body. These are the Codes in ICD-10 that do not. 1X5A - Adverse effect of antineoplastic and immunosuppressive drugs [initial encounter] answers are found in the ICD-10-CM powered by Unbound Medicine. It can make swallowing and eating painful. Athletes took steroid precursors in an effort to boost testosterone levels. This medicine is available only with your doctor's prescription. crusting, white patches, or sores inside nose. 0X5 : S00-T88. 21) Adverse event. We conducted a systematic review including a diversity of types of study designs and safety outcomes with the objective of describing the risk of adverse effects associated. Sulfonylurea Compounds. 6”. Using the ICD-10-CM. Solution. 5 side-effects of steroid injections you did not know about. T49. Tell your doctor if your child is not growing at a normal rate while using this medicine. Steroid-induced skin atrophy is thinning of the skin as a result of prolonged exposure to topical steroids. 3 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 11, I47. Steroid tablets are a “systemic” medicine, which means they can affect your whole body, and not just one area of treatment (like using ointment for a cut on your finger). Atopic dermatitis (eczema) Contact dermatitis. Anabolic steroids have serious side. When coding an adverse effect of a drug that has been correctly prescribed and properly administered, assign the code for the nature of the adverse effect followed by the appropriate code for the adverse effect of the drug. Excludes2: Adverse effect of drug (T36-T50 with fifth or six character 5) Add Code also drug or medication such as: ~ Add encounter for antineoplastic chemotherapy and immunotherapy (Z51. 2 - Abuse of laxatives. Some side effects may occur that usually do not need medical attention. In. Along with its needed effects, hydrocodone may cause some unwanted effects. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The list is not exhaustive and additional codes may apply. 1, COVID-19, may be used for discharges/date of service on or after April 1, 2020. Case reports were included, as were prospective and retrospective studies that. 1X5A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 7X5A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. red skin lesions, often with a purple center. excess air or gas in stomach. Adverse drug event cause ICD-9-CM diagnosis codes; Steroids: 365. decrease in the amount of urine. 99. lightening of treated areas of dark skin. This medicine is available only with your doctor's prescription. ICD-10-CM TABLE of DRUGS and CHEMICALS 2021 Addenda Substance Poisoning Accidental (unintentional) Poisoning Intentional self-harm Poisoning Assault Poisoning. Background Oral corticosteroid use increases the risk of systemic adverse effects including osteoporosis, bone fractures, diabetes, ocular disorders and respiratory infections. ICD-10-CM fracture codes provide greater specificity than ICD. Steroid-Induced Osteoporosis Caused by Prednisone. pinpoint red spots on the skin. You may report side effects to Health Canada at 1-866-234-2345. One prednisone side effect that can occur with high doses or prolonged use is the development of cataracts. For anaphylaxis resulting from COVID-19 vaccine, code T80. Illegally, these drugs are regularly self-administered by body builders and power lifters to enhance their sportive performance. 0X5 may differ. 1016/S0002-9343(99)80404-5. Prednisone oral tablet can cause a serious allergic reaction in some people. Available for iPhone, iPad, Android, and Web. numbness or tingling in the arms or legs. Other ICD-10 Code Options Coding Guidelines 13 34. Those with ICD-10 codes related to COVID-19 vaccine reaction were extracted and descriptive statistics performed in Microsoft Excel (Redmond WA). hives. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. The skin should be moist or slightly tacky, but not slippery, when applying the steroid. 2. Common Advair side effects may include: headache, muscle pain, bone pain, back pain; ICD-10-CM TABLE of DRUGS and CHEMICALS Substance Poisoning Accidental (unintentional) Poisoning Intentional self-harm Poisoning Assault Poisoning Undetermined Adverse effect Underdosing 1-propanol T51. Perhaps the most important one is not. Allergic reactions. 61). Hoarseness. Increased appetite, which may. nausea or vomiting. Some side effects of guaifenesin may occur that usually do. Steroid use can cause an increase in IOP by increasing the expression of ocular extracellular matrix proteins, thus increasing resistance to the outflow of aqueous from the eye. This reaction can cause a skin rash, which can include: trouble breathing. 0% of the patients. high blood pressure. CONSIDER INCREASING STEROID DOSE if gr. Side effects of psychiatric type have been reported following different routes of administration, e. This medicine is available only with your doctor's prescription. Fluticasone can affect growth in children. (code first the condition resulting from the sequela) Z86. A systematic review of the literature was made based on a PubMed and Embase search covering the period 1956 to January 2010. Non-drug, toxic effects of substances chiefly. impotence in males. 5 The risk of steroid-induced glaucoma depends on the duration of use and potency of the steroids themselves as well as the individual’s baseline risk for glaucoma. Anabolic steroids have a number of medical uses, [1] but are also used by athletes to increase muscle size, strength, and. 15 16 According to CMS coding guidelines, adverse effects codes should be used to describe ‘an adverse effect of a drug that has been correctly prescribed and. 'roid rage', which is characterised by uncontrollable outbursts of psychotic aggression. red face. Step 4 – Sequela codeSome drug tests may not be able to spot them in a person's body. Call your doctor for medical advice about side effects. Topical steroids. Side effects may be more likely in adults who are 65 or older. 1995 Feb;98(2):196-208. Thrush — a yeast infection of the mouth — is a side effect of steroid inhalers. 0X5 became effective on October 1, 2023. 1007/s12016-013-8365-z. 66% sodium chloride for isotonicity, 0. Low energy. 0):While it treats many inflammatory and autoimmune conditions, prednisone also causes side effects, especially if used at a high dose or for a long time. Heroin causing adverse effects in therapeutic use: E935. Physical Changes. Skin atrophy can occur with both prescription and over the counter steroids creams. CM as published on the NCHS website. The drug was discontinued at the previous visit. Donations are tax. 0X5 - other international versions of ICD-10 T38. Common pravastatin side effects may include: muscle or joint pain; nausea, vomiting, diarrhea; headache; or. CONSIDER ADDITIONAL IMMUNOSUPPRESSION if gr. Note that definitions of grades are found in each table and, for the most part, follow the Common Terminology Criteria for Adverse Events (CTCAE) v5. International Classification of Diseases, 10. 492 Revise from: T40. Keywords: corticosteroids, adverse drug reactions,. 9-Poisoning by systemic hematological agent: T66:low potassium level - leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling; or. pounding in the ears. Poisoning Radiation esophagitis is a common, dose-limiting, early adverse effect of radiation treatment of thoracic tumors. We’re unable to give an idea of the frequency. Corticosteroids constitute a double-edged sword - significant. This was the first year ICD-10-CM was implemented into the HIPAA code set. Other side effects not listed may also occur in some patients. However, for some patients, systemic steroids may be unsuccessful or contraindicated; therefore, intratympanic steroid (ITS) administration may be a suitable alternative for. 4 Abnormal weight loss Adverse Reaction to Medication Therapeutic Drug Monitoring (Drug Levels) Code for Adverse Effect of SpecificT49. ICD-10 codes use 3 to 7 alpha and numeric. For a complete list of side effects, please refer to the individual drug monographs. 4X5A became effective on October 1, 2023. The code for the drug - CM as published on the NCHS website. Problems with mood swings, memory, behavior, and other psychological effects, such as confusion or delirium. Side-effects can include: Indigestion (dyspepsia). 2X2 T51. Instructions from Volume 1 under the code E10. 8X5A Adverse effect of other specified systemic anti-infective and antiparasitics, initial encounters. Available for iPhone, iPad, Android, and Web. However, this should pass within a few days. 0X5A for Adverse effect of glucocorticoids and synthetic analogues, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes . Still, people who use AAS tend to be reluctant to seek treatment. Testosterone Congeners. : accidents in the technique of administration of drugs, medicaments and biological substances in medical and surgical procedures (Y60–Y69) Y41. Prednisone is a corticosteroid (cortisone-like medicine or steroid). Of these patients, 85% presented during the day and evening hours and the mean age at time of. Certain side effects were more likely than others to persist, namely: Addison disease (adrenal insufficiency) arthritis/joint pain. This can sometimes lead to depression and suicide once the steroids have been stopped. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code T49. Long-term side effects of steroids: If steroids are taken daily, for long periods of time, they can cause adrenal gland suppression.