2024 ICD-10-CM Diagnosis Code T47.2X6

Underdosing of stimulant laxatives

ICD-10-CM Code:
T47.2X6
ICD-10 Code for:
Underdosing 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)

T47.2X6 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of underdosing 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 Underdosing of stimulant laxatives

Non-specific codes like T47.2X6 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 underdosing of stimulant laxatives:

  • Use T47.2X6A for initial encounter - BILLABLE CODE

  • Use T47.2X6D for subsequent encounter - BILLABLE CODE

  • Use T47.2X6S for sequela - BILLABLE CODE

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

Underdosing refers to taking less of a medication than is prescribed by a provider or a manufacturer's instruction. Codes for underdosing should never be assigned as principal or first-listed codes. If a patient has a relapse or exacerbation of the medical condition for which the drug is prescribed because of the reduction in dose, then the medical condition itself should be coded.

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


Medication Errors

Medicines treat infectious diseases, prevent problems from chronic diseases, and ease pain. But medicines can also cause harmful reactions if not used correctly. Errors can happen in the hospital, at the health care provider's office, at the pharmacy, or at home. You can help prevent errors by:

  • Knowing your medicines. When you get a prescription, ask the name of the medicine and check to make sure that the pharmacy gave you the right medicine. Make sure that you understand how often you should take the medicine and how long you should take it.
  • Keeping a list of medicines.
    • Write down all of the medicines that you are taking, including the names of your medicines, how much you take, and when you take them. Make sure to include any over-the-counter medicines, vitamins, supplements, and herbs that you take.
    • List the medicines that you are allergic to or that have caused you problems in the past.
    • Take this list with you every time you see a health care provider.
  • Reading medicine labels and following the directions. Don't just rely on your memory - read the medication label every time. Be especially careful when giving medicines to children.
  • Asking questions. If you don't know the answers to these questions, ask your health care provider or pharmacist:
    • Why am I taking this medicine?
    • What are the common side effects?
    • What should I do if I have side effects?
    • When should I stop this medicine?
    • Can I take this medicine with the other medicines and supplements on my list?
    • Do I need to avoid certain foods or alcohol while taking this medicine?

Food and Drug Administration


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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.