2024 ICD-10-CM Diagnosis Code T47.8X5S

Adverse effect of other agents primarily affecting gastrointestinal system, sequela

ICD-10-CM Code:
T47.8X5S
ICD-10 Code for:
Adverse effect of agents primarily affecting GI sys, sequela
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
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)

T47.8X5S is a billable diagnosis code used to specify a medical diagnosis of adverse effect of other agents primarily affecting gastrointestinal system, sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

T47.8X5S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like adverse effect of other agents primarily affecting gastrointestinal system. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

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 salicylate
  • Adverse reaction to salicylate
  • Antispasmodic adverse reaction
  • Cisapride adverse reaction
  • Mesalazine adverse reaction
  • Motility stimulant adverse reaction
  • Olsalazine adverse reaction

Clinical Classification

Clinical Information

  • Actinobacillus equuli

    a genus of gram-negative bacteria in the genus actinobacillus, which is pathogenic for horses and pigs.
  • Aeromonas caviae

    a species of gram-negative, facultatively anaerobic bacteria that is found in domestic and wild animals including birds, and fish. in humans it causes gastroenteritis in young children and some adults.
  • Agrobacterium tumefaciens

    a species of gram-negative, aerobic bacteria isolated from soil and the stems, leafs, and roots of plants. some biotypes are pathogenic and cause the formation of plant tumors in a wide variety of higher plants. the species is a major research tool in biotechnology.
  • Aliivibrio fischeri

    a species of gram-negative bacteria in the genus aliivibrio, which exhibits luminescence. a. fischeri is found in a symbiotic relationship with the squid euprymna scolopes.
  • Anthrax

    an acute infection caused by the spore-forming bacteria bacillus anthracis. it commonly affects hoofed animals such as sheep and goats. infection in humans often involves the skin (cutaneous anthrax), the lungs (inhalation anthrax), or the gastrointestinal tract. anthrax is not contagious and can be treated with antibiotics.
  • Bacillus

    a genus of bacillaceae that are spore-forming, rod-shaped cells. most species are saprophytic soil forms with only a few species being pathogenic.
  • Bacillus amyloliquefaciens

    a non-pathogenic species of bacillus that occurs in soil as well as some fermented vegetables and fermented dairy products. it produces bacteriocins and antifungal agents and is used in food preservation as well as a probiotic.
  • Bacillus anthracis

    a species of bacteria that causes anthrax in humans and animals.
  • Bacillus cereus

    a species of rod-shaped bacteria that is a common soil saprophyte. its spores are widespread and multiplication has been observed chiefly in foods. contamination may lead to food poisoning.
  • Bacillus clausii

    an alkalophilic species of bacillus that occurs in soil. it produces anti-bacterial agents and is used as a probiotic.
  • Bacillus coagulans

    a microaerophilic, lactic acid producing species of bacillus that occurs in fermented foods. it also produces anti-infective agents and is used as a probiotic.
  • Bacillus firmus

    a species of bacillus that occurs in soil and marine sediments. many strains are alkalophilic and able to metabolize heavy metals; it may therefore be a useful species for environmental biodegradation.
  • Bacillus licheniformis

    a species of bacillus that occurs in soil and is frequently found on bird feathers. some strains cause foodborne disease, whereas other strains produce antifungal agents and antibacterial agents and function as probiotics. this species can also produce enzymes for industrial applications.
  • Bacillus megaterium

    a species of bacteria whose spores vary from round to elongate. it is a common soil saprophyte.
  • Bacillus Phages

    viruses whose host is bacillus. frequently encountered bacillus phages include bacteriophage phi 29 and bacteriophage phi 105.
  • Bacillus pumilus

    a species of bacillus that occurs in soil, especially around the roots of some plants where it has anti-fungal and anti-nematode activities. it can also produce enzymes for industrial applications.
  • Bacillus subtilis

    a species of gram-positive bacteria that is a common soil and water saprophyte.
  • Bacillus thuringiensis

    a species of gram-positive bacteria which may be pathogenic for certain insects. it is used for the biological control of the gypsy moth.
  • Bacillus thuringiensis Toxins

    endotoxins produced by bacillus thuringiensis used in transgenic plants and insecticides. when eaten by a susceptible insect they are protease activated in the insect midgut resulting in death from bacterial septicemia.
  • BCG Vaccine

    an active immunizing agent and a viable avirulent attenuated strain of mycobacterium bovis, which confers immunity to mycobacterial infections. it is used also in immunotherapy of neoplasms due to its stimulation of antibodies and non-specific immunity.
  • Bordetella bronchiseptica

    a species of bordetella that is parasitic and pathogenic. it is found in the respiratory tract of domestic and wild mammalian animals and can be transmitted from animals to man. it is a common cause of bronchopneumonia in lower animals.
  • Erwinia amylovora

    a species of gram-negative bacteria, in the genus erwinia, causing a necrotic disease of plants.
  • Escherichia coli

    a species of gram-negative, facultatively anaerobic, rod-shaped bacteria (gram-negative facultatively anaerobic rods) commonly found in the lower part of the intestine of warm-blooded animals. it is usually nonpathogenic, but some strains are known to produce diarrhea and pyogenic infections. pathogenic strains (virotypes) are classified by their specific pathogenic mechanisms such as toxins (enterotoxigenic escherichia coli), etc.
  • Geobacillus stearothermophilus

    a species of gram-positive endospore-forming bacteria in the family bacillaceae, found in soil, hot springs, arctic waters, ocean sediments, and spoiled food products.
  • Haemophilus ducreyi

    a species of haemophilus that appears to be the pathogen or causative agent of the sexually transmitted disease, chancroid.
  • Klebsiella oxytoca

    a species of gram-negative bacteria causing urinary tract infections and septicemia.
  • Klebsiella pneumoniae

    gram-negative, non-motile, capsulated, gas-producing rods found widely in nature and associated with urinary and respiratory infections in humans.
  • Morganella morganii

    a species of morganella formerly classified as a proteus species. it is found in the feces of humans, dogs, other mammals, and reptiles. (from bergey's manual of determinative bacteriology, 9th ed)
  • Paenibacillus polymyxa

    a species of paenibacillus formerly classified as bacillus polymyxa that occurs in marine sediments and soil, especially around plant roots and rhizomes where it performs nitrogen fixation. it has activity against several species of pathogenic bacteria and produces polymyxins.
  • Pectobacterium carotovorum

    a species of gram-negative, facultatively anaerobic, rod-shaped bacteria that causes rotting, particularly of storage tissues, of a wide variety of plants and causes a vascular disease in carrots; and potato plants.
  • Pseudomonas aeruginosa

    a species of gram-negative, aerobic, rod-shaped bacteria commonly isolated from clinical specimens (wound, burn, and urinary tract infections). it is also found widely distributed in soil and water. p. aeruginosa is a major agent of nosocomial infection.
  • Pseudomonas fluorescens

    a species of nonpathogenic fluorescent bacteria found in feces, sewage, soil, and water, and which liquefy gelatin.
  • Pseudomonas stutzeri

    a species of gram-negative bacteria in the genus pseudomonas, containing multiple genomovars. it is distinguishable from other pseudomonad species by its ability to use maltose and starch as sole carbon and energy sources. it can degrade environmental pollutants and has been used as a model organism to study denitrification.
  • Shigella dysenteriae

    a species of gram-negative, facultatively anaerobic, rod-shaped bacteria that is extremely pathogenic and causes severe dysentery. infection with this organism often leads to ulceration of the intestinal epithelium.
  • Subtilisins

    a family of serine endopeptidases isolated from bacillus subtilis. ec 3.4.21.-
  • Vibrio cholerae

    the etiologic agent of cholera.
  • Xanthomonas campestris

    a species of gram-negative, aerobic bacteria that is pathogenic for plants.
  • Yersinia pestis

    the etiologic agent of plague in man, rats, ground squirrels, and other rodents.
  • Carrageenan

    a water-soluble extractive mixture of sulfated polysaccharides from red algae. chief sources are the irish moss chondrus crispus (carrageen), and gigartina stellata. it is used as a stabilizer, for suspending cocoa in chocolate manufacture, and to clarify beverages.
  • Cisapride

    a substituted benzamide used for its prokinetic properties. it is used in the management of gastroesophageal reflux disease, functional dyspepsia, and other disorders associated with impaired gastrointestinal motility. (martindale the extra pharmacopoeia, 31st ed)

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

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)

T47.8X5S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T47.8X5S to ICD-9-CM

  • ICD-9-CM Code: 909.5 - Lte efct advrs efct drug
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
  • ICD-9-CM Code: E943.8 - Adv eff GI agent NEC
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.

Table of Drugs and Chemicals

The parent code T47.8X5 of the current diagnosis 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
AlginT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
BacillusT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
Bacillus
  »lactobacillus
T47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
Bacillus
  »subtilis
T47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
BromoprideT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
CarrageenanT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
CisaprideT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
CleboprideT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
GlucurolactoneT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
Hepatic secretion stimulantT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
Ion exchange resinT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
Ion exchange resin
  »anion
T47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
Ion exchange resin
  »cation
T47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
Ion exchange resin
  »cholestyramine
T47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
Ion exchange resin
  »intestinal
T47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
MesalazineT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
OlsalazineT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
PancreaticT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
Pancreatic
  »digestive secretion stimulant
T47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
Pancreatic
  »dornase
T47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
PolysilaneT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6
Sulfated amylopectinT47.8X1T47.8X2T47.8X3T47.8X4T47.8X5T47.8X6

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.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.