2024 ICD-10-CM Diagnosis Code T47.2X5

Adverse effect of stimulant laxatives

ICD-10-CM Code:
T47.2X5
ICD-10 Code for:
Adverse effect of stimulant laxatives
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
      (T36-T50)
      • Poisoning by, adverse effect of and underdosing of agents primarily affecting the gastrointestinal system
        (T47)

T47.2X5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of adverse effect of stimulant laxatives. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Adverse effect of stimulant laxatives

Non-specific codes like T47.2X5 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for adverse effect of stimulant laxatives:

  • Use T47.2X5A for initial encounter - BILLABLE CODE

  • Use T47.2X5D for subsequent encounter - BILLABLE CODE

  • Use T47.2X5S for sequela - BILLABLE CODE

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Adverse reaction to irritant cathartic
  • Adverse reaction to oil
  • Adverse reaction to phenolphthalein
  • Anthraquinone laxative adverse reaction
  • Anthraquinone laxative adverse reaction
  • Anthraquinone laxative adverse reaction
  • Bisacodyl adverse reaction
  • Cascara adverse reaction
  • Castor oil adverse reaction
  • Contact dermatitis due to hydrocarbon
  • Contact dermatitis due to ketone
  • Danthron adverse reaction
  • Danthron erythema
  • Fixed drug eruption due to phenolphthalein
  • Fixed drug reaction
  • Fixed oil adverse reaction
  • Senna adverse reaction
  • Sodium picosulfate adverse reaction

Clinical Information

  • Bisacodyl

    a diphenylmethane stimulant laxative used for the treatment of constipation and for bowel evacuation. (from martindale, the extra pharmacopoeia, 30th ed, p871)
  • Bryonia

    a plant genus of the family cucurbitaceae that is the source of bryodin 1 (a ribosome-inactivating protein).
  • Phenolphthalein

    an acid-base indicator which is colorless in acid solution, but turns pink to red as the solution becomes alkaline. it is used medicinally as a cathartic.
  • Phenolphthaleins

    a family of 3,3-bis(p-hydroxyphenyl)phthalides. they are used as cathartics, indicators, and coloring agents.

Coding Guidelines

When coding an adverse effect of a drug that has been correctly prescribed and properly administered, assign the appropriate code for the nature of the adverse effect followed by the appropriate code for the adverse effect of the drug.

The appropriate 7th character is to be added to each code from block Poisoning by, adverse effect of and underdosing of agents primarily affecting the gastrointestinal system (T47). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Table of Drugs and Chemicals

The code is referenced in the Table of Drugs and Chemicals, this table contains a classification of drugs, industrial solvents, corrosive gases, noxious plants, pesticides, and other toxic agents.

According to ICD-10-CM coding guidelines it is advised to do not code directly from the Table of Drugs and Chemicals, instead always refer back to the Tabular List when doing the initial coding. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. It is important to use as many codes as necessary to specify all reported drugs, medicinal or chemical substances. If the same diagnosis code describes the causative agent for more than one adverse reaction, poisoning, toxic effect or underdosing, utilize the code only once.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
(self-harm)
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
AloesT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
AloinT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
BisacodylT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
BisoxatinT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
BryoniaT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Carter's Little PillsT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Cascara (sagrada)T47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
ChrysazinT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
ColocynthT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Croton (oil)T47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Croton (oil)
  »chloral
T47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
DanthronT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
DantronT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
DianthoneT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
DihydroxyanthraquinoneT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
DulcolaxT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
ElateriumT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Ex-Lax (phenolphthalein)T47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
FrangulaT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Frangula
  »extract
T47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
GambogeT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Hinkle's pillsT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
JalapT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Oleum riciniT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
OxyphenisatineT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
PhenisatinT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
PhenolphthaleinT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Picosulfate (sodium)T47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
RhubarbT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Rhubarb
  »dry extract
T47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Rhubarb
  »tincture, compound
T47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
ScammonyT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
SennaT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Sennoside A+BT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
Squirting cucumber (cathartic)T47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6
SulisatinT47.2X1T47.2X2T47.2X3T47.2X4T47.2X5T47.2X6

Patient Education


Drug Reactions

Most of the time, medicines make our lives better. They reduce aches and pains, fight infections, and control problems such as high blood pressure or diabetes. But medicines can also cause unwanted reactions, such as drug interactions, side effects, and allergies.

What is a drug interaction?

A drug interaction is a change in the way a drug acts in the body when taken with certain other drugs, foods, or supplements or when taken while you have certain medical conditions. Examples include:

  • Two drugs, such as aspirin and blood thinners
  • Drugs and food, such as statins and grapefruit
  • Drugs and supplements, such as gingko and blood thinners
  • Drugs and medical conditions, such as aspirin and peptic ulcers

Interactions could cause a drug to be more or less effective, cause side effects, or change the way one or both drugs work.

What are side effects?

Side effects are unwanted, usually unpleasant, effects caused by medicines. Most are mild, such as a stomachache, dry mouth, or drowsiness, and go away after you stop taking the medicine. Others can be more serious. Sometimes a drug can interact with a disease that you have and cause a side effect. For example, if you have a heart condition, certain decongestants can cause you to have a rapid heartbeat.

What are drug allergies?

Drug allergies are another type of reaction. They can range from mild to life-threatening. Skin reactions, such as hives and rashes, are the most common type. Anaphylaxis, a serious allergic reaction, is less common.

How can I stay safe when taking medicines?

When you start a new prescription or over-the-counter medicine, make sure you understand how to take it correctly. Know which other medicines, foods, and supplements you need to avoid. Always talk to your health care provider or pharmacist if you have questions about your medicines.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.