2024 ICD-10-CM Diagnosis Code T49.3X5S

Adverse effect of emollients, demulcents and protectants, sequela

ICD-10-CM Code:
T49.3X5S
ICD-10 Code for:
Advrs effect of emollients, demulcents and protect, 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 topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinorlaryngological and dental drugs
        (T49)

T49.3X5S is a billable diagnosis code used to specify a medical diagnosis of adverse effect of emollients, demulcents and protectants, 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.

T49.3X5S 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 emollients demulcents and protectants. 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 aluminum and/or aluminum compound
  • Adverse reaction to oil
  • Antidotes for pesticides adverse reaction
  • Arachis oil adverse reaction
  • Aseptic peritonitis
  • Bentonite powder adverse reaction
  • Calamine adverse reaction
  • Chemical peritonitis
  • Collodion adverse reaction
  • Contact dermatitis due to hydrocarbon
  • Emollient adverse reaction
  • Emollient bath additives adverse reaction
  • Fixed oil adverse reaction
  • Glaucoma caused by silicone oil
  • Irritant contact dermatitis caused by emollient substance
  • Irritant contact dermatitis due to drug in contact with skin
  • Lanolin contact dermatitis
  • Lipid granuloma of skin caused by mineral oil
  • Lipogranuloma
  • Oil contact dermatitis
  • Paraffin adverse reaction
  • Paraffinoma of skin
  • Paraffin-white soft adverse reaction
  • Paraffin-yellow soft adverse reaction
  • Retinopathy of left eye caused by talc
  • Retinopathy of right eye caused by talc
  • Silicone adverse reaction
  • Sunscreening preparations adverse reaction
  • Talc peritonitis
  • Wool alcohol adverse reaction

Clinical Classification

Clinical Information

  • Chemical Peritonitis

    a non-infectious inflammation of the peritoneum.
  • Erdheim-Chester Disease|ECD|Lipogranulomatosis|Polyostotic Sclerosing Histiocytosis

    a very rare, multisystem non-langerhans cell histiocytosis that predominantly affects adults. it is characterized by the proliferation in the tissues of lipid-laden macrophages and the presence of multinucleated giant cells. it results in sclerosis of the long bones and failure of the affected organs. patients may present with bone pain, exophthalmos, ataxia, liver failure, kidney failure, and hypopituitarism.
  • Farber Lipogranulomatosis

    a very rare autosomal recessive metabolic disorder affecting lipid metabolism. it is caused by mutations in the asah1 gene and is characterized by fatty accumulation in the body tissues. patients develop lipogranulomas in the skin and internal organs, edema and pain in the joints and a hoarse voice. it may be associated with intellectual disability.
  • Large Lipogranuloma Assessment|LPGNLMLG|Large Lipogranuloma|Large Lipogranuloma

    an evaluation of the presence or degree of large lipogranuloma in a sample.
  • Lipogranuloma

    an inflammatory lesion comprised of lipoid material.

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 topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinorlaryngological and dental drugs (T49). 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)

T49.3X5S 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 T49.3X5S 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: E946.3 - Adv eff emollient/demulc
    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 T49.3X5 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
Acrylic resinT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
AllylthioureaT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Aminobenzoic acid (-p)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Arachis oilT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Arachis oil
  »cathartic
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Barrier creamT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
BentoniteT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
BenzophenonesT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Betula oilT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Calamine (lotion)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
CarbowaxT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Chlordiethyl benzamideT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Cold creamT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
CollodionT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Colophony adhesiveT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Corn starchT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Cornhusker's lotionT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Cottonseed oilT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Cyanoacrylate adhesiveT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Demulcent (external)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Demulcent (external)
  »specified NEC
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Emollient NECT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Filtering creamT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Flaxseed (medicinal)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
HomosalateT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Hydrophilic lotionT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Hydrous wool fatT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
LanolinT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
MecrilateT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
MeladininT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Melanizing agentsT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
MeloxineT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Methoxa-DomeT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
MexenoneT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Nutmeg oil (liniment)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Octafonium (chloride)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Oily preparation (for skin)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Ointment NECT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
OxsoralenT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
PABAT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
PadimateT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Para-aminobenzoic acidT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
PetrolatumT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Petrolatum
  »hydrophilic
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Petrolatum
  »liquid
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Petrolatum
  »liquid
    »topical
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Petrolatum
  »nonmedicinal
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Petrolatum
  »red veterinary
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Petrolatum
  »white
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Plaster dressingT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Plastic dressingT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Polyethylene adhesiveT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Protectant, skin NECT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
PyroxylinT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Rose water ointmentT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
SalolT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Solar lotionT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
SulisobenzoneT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Sweet oil (birch)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Talc powderT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
TalcumT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
ThiosinamineT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
TrimethylpsoralenT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
TrisoralenT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Ultraviolet light protectantT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Unna's bootT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
VaselineT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Wintergreen (oil)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Wool fat (hydrous)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
XanthotoxinT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6

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.