2024 ICD-10-CM Diagnosis Code T47.4X6
Underdosing of other laxatives
- ICD-10-CM Code:
- T47.4X6
- ICD-10 Code for:
- Underdosing of other laxatives
- Is Billable?
- Not Valid for Submission
- Code Navigator:
T47.4X6 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 other 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 other laxatives
Non-specific codes like T47.4X6 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 other laxatives:
Clinical Information
Carbohydrate Binding Modules
contiguous amino acid sequences within a carbohydrate-active enzyme with discrete folds having carbohydrate binding activity. they are classified into 43 different families based on amino acid sequence, binding specificity, and structure.Carboxymethylcellulose Sodium
a cellulose derivative which is a beta-(1,4)-d-glucopyranose polymer. it is used as a bulk laxative and as an emulsifier and thickener in cosmetics and pharmaceuticals and as a stabilizer for reagents.Cellulose
a polysaccharide with glucose units linked as in cellobiose. it is the chief constituent of plant fibers, cotton being the purest natural form of the substance. as a raw material, it forms the basis for many derivatives used in chromatography, ion exchange materials, explosives manufacturing, and pharmaceutical preparations.Cellulose 1,4-beta-Cellobiosidase
an exocellulase with specificity for the hydrolysis of 1,4-beta-d-glucosidic linkages in cellulose and cellotetraose. it catalyzes the hydrolysis of terminal non-reducing ends of beta-d-glucosides with release of cellobiose.Cellulose, Oxidized
a cellulose of varied carboxyl content retaining the fibrous structure. it is commonly used as a local hemostatic and as a matrix for normal blood coagulation.Collodion
a nitrocellulose solution in ether and alcohol. collodion has a wide range of uses in industry including applications in the manufacture of photographic film, in fibers, in lacquers, and in engraving and lithography. in medicine it is used as a drug solvent and a wound sealant.Electrophoresis, Cellulose Acetate
electrophoresis in which cellulose acetate is the diffusion medium.Methylcellulose
methylester of cellulose. methylcellulose is used as an emulsifying and suspending agent in cosmetics, pharmaceutics and the chemical industry. it is used therapeutically as a bulk laxative.alpha-Chlorohydrin
a chlorinated propanediol with antifertility activity in males used as a chemosterilant in rodents.Glycerol
a trihydroxy sugar alcohol that is an intermediate in carbohydrate and lipid metabolism. it is used as a solvent, emollient, pharmaceutical agent, or sweetening agent.Glycerol Kinase
an enzyme that catalyzes the formation of glycerol 3-phosphate from atp and glycerol. dihydroxyacetone and l-glyceraldehyde can also act as acceptors; utp and, in the case of the yeast enzyme, itp and gtp can act as donors. it provides a way for glycerol derived from fats or glycerides to enter the glycolytic pathway. ec 2.7.1.30.Glycerol-3-Phosphate Dehydrogenase (NAD+)
an nad-dependent enzyme that catalyzes the oxidation of sn-glycerol 3-phosphate to glycerone phosphate.Glycerol-3-Phosphate O-Acyltransferase
an enzyme that transfers acyl groups from acyl-coa to glycerol-3-phosphate to form monoglyceride phosphates. it acts only with coa derivatives of fatty acids of chain length above c-10. also forms diglyceride phosphates. ec 2.3.1.15.Glycerolphosphate Dehydrogenase
Glycerophosphates
any salt or ester of glycerophosphoric acid.Glyceryl Ethers
compounds in which one or more of the three hydroxyl groups of glycerol are in ethereal linkage with a saturated or unsaturated aliphatic alcohol; one or two of the hydroxyl groups of glycerol may be esterified. these compounds have been found in various animal tissue.Glycerylphosphorylcholine
a component of phosphatidylcholines or lecithins, in which the two hydroxy groups of glycerol are esterified with fatty acids. (from stedman, 26th ed)Guaifenesin
an expectorant that also has some muscle relaxing action. it is used in many cough preparations.Monoacylglycerol Lipases
an enzyme that catalyzes the hydrolysis of glycerol monoesters of long-chain fatty acids ec 3.1.1.23.Phosphatidylglycerols
a nitrogen-free class of lipids present in animal and particularly plant tissues and composed of one mole of glycerol and 1 or 2 moles of phosphatidic acid. members of this group differ from one another in the nature of the fatty acids released on hydrolysis.Phospholipid Ethers
phospholipids which have an alcohol moiety in ethereal linkage with a saturated or unsaturated aliphatic alcohol. they are usually derivatives of phosphoglycerols or phosphatidates. the other two alcohol groups of the glycerol backbone are usually in ester linkage. these compounds are widely distributed in animal tissues.Teichoic Acids
bacterial polysaccharides that are rich in phosphodiester linkages. they are the major components of the cell walls and membranes of many bacteria.Triolein
(z)-9-octadecenoic acid 1,2,3-propanetriyl ester.Triose Sugar Alcohols
sugar alcohol molecules that contain three carbons.Poloxamer
a nonionic polyoxyethylene-polyoxypropylene block co-polymer with the general formula ho(c2h4o)a(-c3h6o)b(c2h4o)ah. it is available in different grades which vary from liquids to solids. it is used as an emulsifying agent, solubilizing agent, surfactant, and wetting agent for antibiotics. poloxamer is also used in ointment and suppository bases and as a tablet binder or coater. (martindale the extra pharmacopoeia, 31st ed)L-Iditol 2-Dehydrogenase
an alcohol oxidoreductase which catalyzes the oxidation of l-iditol to l-sorbose in the presence of nad. it also acts on d-glucitol to form d-fructose. it also acts on other closely related sugar alcohols to form the corresponding sugar. ec 1.1.1.14Sorbitol
a polyhydric alcohol with about half the sweetness of sucrose. sorbitol occurs naturally and is also produced synthetically from glucose. it was formerly used as a diuretic and may still be used as a laxative and in irrigating solutions for some surgical procedures. it is also used in many manufacturing processes, as a pharmaceutical aid, and in several research applications.Malvaceae
the mallow family of the order malvales, subclass dilleniidae, class magnoliopsida. the common names of hollyhock and mallow are used for several genera of malvaceae.Sterculia
a plant genus of the family sterculiaceae. s. urens is the source of karaya gum which is sometimes called indian tragacanth, which is different from the true tragacanth which comes from astragalus gummifer.
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.
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.