2024 ICD-10-CM Diagnosis Code T47.5X6

Underdosing of digestants

ICD-10-CM Code:
T47.5X6
ICD-10 Code for:
Underdosing of digestants
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)

T47.5X6 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 digestants. 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 digestants

Non-specific codes like T47.5X6 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 digestants:

  • Use T47.5X6A for initial encounter - BILLABLE CODE

  • Use T47.5X6D for subsequent encounter - BILLABLE CODE

  • Use T47.5X6S for sequela - BILLABLE CODE

Clinical Information

  • Betaine

    a naturally occurring compound that has been of interest for its role in osmoregulation. as a drug, betaine hydrochloride has been used as a source of hydrochloric acid in the treatment of hypochlorhydria. betaine has also been used in the treatment of liver disorders, for hyperkalemia, for homocystinuria, and for gastrointestinal disturbances. (from martindale, the extra pharmacopoeia, 30th ed, p1341)
  • Betaine-Aldehyde Dehydrogenase

    an nad+ dependent enzyme that catalyzes the oxidation of betain aldehyde to betaine.
  • Betaine-Homocysteine S-Methyltransferase

    a zinc metalloenzyme that catalyzes the transfer of a methyl group from betaine to homocysteine to produce dimethylglycine and methionine, respectively. this enzyme is a member of a family of zinc-dependent methyltransferases that use thiols or selenols as methyl acceptors.
  • Chenodeoxycholic Acid

    a bile acid, usually conjugated with either glycine or taurine. it acts as a detergent to solubilize fats for intestinal absorption and is reabsorbed by the small intestine. it is used as cholagogue, a choleretic laxative, and to prevent or dissolve gallstones.
  • Cholic Acid

    a major primary bile acid produced in the liver and usually conjugated with glycine or taurine. it facilitates fat absorption and cholesterol excretion.
  • Cholic Acids

    the 3 alpha,7 alpha,12 alpha-trihydroxy-5 beta-cholanic acid family of bile acids in man, usually conjugated with glycine or taurine. they act as detergents to solubilize fats for intestinal absorption, are reabsorbed by the small intestine, and are used as cholagogues and choleretics.
  • Citric Acid

    a key intermediate in metabolism. it is an acid compound found in citrus fruits. the salts of citric acid (citrates) can be used as anticoagulants due to their calcium chelating ability.
  • Citric Acid Cycle

    a series of oxidative reactions in the breakdown of acetyl units derived from glucose; fatty acids; or amino acids by means of tricarboxylic acid intermediates. the end products are carbon dioxide, water, and energy in the form of phosphate bonds.
  • Dehydrocholic Acid

    a semisynthetic bile acid made from cholic acid. it is used as a cholagogue, hydrocholeretic, diuretic, and as a diagnostic aid.
  • Asarum

    a plant genus of the family aristolochiaceae which was used medicinally by north american indians. the common name of 'snakeroot' is also used for many other plants, including sanicula; or aristolochia; or polygala.
  • Ginger

    deciduous plant rich in volatile oil (oils, volatile). it is used as a flavoring agent and has many other uses both internally and topically.
  • Glutamate Decarboxylase

    a pyridoxal-phosphate protein that catalyzes the alpha-decarboxylation of l-glutamic acid to form gamma-aminobutyric acid and carbon dioxide. the enzyme is found in bacteria and in invertebrate and vertebrate nervous systems. it is the rate-limiting enzyme in determining gamma-aminobutyric acid levels in normal nervous tissues. the brain enzyme also acts on l-cysteate, l-cysteine sulfinate, and l-aspartate. ec 4.1.1.15.
  • Glutamates

    derivatives of glutamic acid. included under this heading are a broad variety of acid forms, salts, esters, and amides that contain the 2-aminopentanedioic acid structure.
  • Glutamic Acid

    a non-essential amino acid naturally occurring in the l-form. glutamic acid is the most common excitatory neurotransmitter in the central nervous system.
  • Plasminogen

    precursor of plasmin (fibrinolysin). it is a single-chain beta-globulin of molecular weight 80-90,000 found mostly in association with fibrinogen in plasma; plasminogen activators change it to fibrinolysin. it is used in wound debriding and has been investigated as a thrombolytic agent.
  • RNA, Transfer, Glu

    a transfer rna which is specific for carrying glutamic acid to sites on the ribosomes in preparation for protein synthesis.
  • Pancreatin

    a mammalian pancreatic extract composed of enzymes with protease, amylase and lipase activities. it is used as a digestant in pancreatic malfunction.
  • Pancrelipase

    a preparation of hog pancreatic enzymes standardized for lipase content.
  • Coronavirus Papain-Like Proteases

    papain-like proteases that occur in species of coronaviridae. some species have more than one papain-like protease gene.
  • Papain

    a proteolytic enzyme obtained from carica papaya. it is also the name used for a purified mixture of papain and chymopapain that is used as a topical enzymatic debriding agent. ec 3.4.22.2.

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
AmylaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Anise oilT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
AntiflatulentT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
b-galactosidaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
BetaineT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Bile saltsT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
CarminativeT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Chenodeoxycholic acidT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
ChenodiolT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
CholagoguesT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
CholereticT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Cholic acidT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Citric acidT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Cytochrome CT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
DecholinT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Dehydrocholic acidT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
DiastaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Digestant NECT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
DillT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
ElastaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
FlorantyroneT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
b-GalactosidaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Gastric enzymesT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
GentianT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Gentian
  »violet
T47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
GingerT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Ginger
  »Jamaica
T47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Glutamic acidT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
LipancreatinT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Ox bile extractT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
PancreatinT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
PancrelipaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
PapainT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Papain
  »digestant
T47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Peppermint (oil)T47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
PepsinT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Pepsin
  »digestant
T47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
PhenylpropanolT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
ProteaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
TilactaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6

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.