2024 ICD-10-CM Diagnosis Code T47.6X4S
Poisoning by antidiarrheal drugs, undetermined, sequela
- ICD-10-CM Code:
- T47.6X4S
- ICD-10 Code for:
- Poisoning by antidiarrheal drugs, undetermined, sequela
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
T47.6X4S is a billable diagnosis code used to specify a medical diagnosis of poisoning by antidiarrheal drugs, undetermined, 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.
T47.6X4S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like poisoning by antidiarrheal drugs undetermined. 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.
Clinical Classification
Clinical Category is Poisoning/toxic effect/adverse effects/underdosing, sequela
- CCSR Category Code: INJ075
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
1,4-alpha-Glucan Branching Enzyme
in glycogen or amylopectin synthesis, the enzyme that catalyzes the transfer of a segment of a 1,4-alpha-glucan chain to a primary hydroxy group in a similar glucan chain. ec 2.4.1.18.Amylopectin
a highly branched glucan in starch.Glycogen Storage Disease Type IV
an autosomal recessive metabolic disorder due to a deficiency in expression of glycogen branching enzyme 1 (alpha-1,4-glucan-6-alpha-glucosyltransferase), resulting in an accumulation of abnormal glycogen with long outer branches. clinical features are muscle hypotonia and cirrhosis. death from liver disease usually occurs before age 2.Charcoal
an amorphous form of carbon prepared from the incomplete combustion of animal or vegetable matter, e.g., wood. the activated form of charcoal is used in the treatment of poisoning. (grant & hackh's chemical dictionary, 5th ed)Diphenoxylate
a meperidine congener used as an antidiarrheal, usually in combination with atropine. at high doses, it acts like morphine. its unesterified metabolite difenoxin has similar properties and is used similarly. it has little or no analgesic activity.Kaolin
the most common mineral of a group of hydrated aluminum silicates, approximately h2al2si2o8-h2o. it is prepared for pharmaceutical and medicinal purposes by levigating with water to remove sand, etc. (from merck index, 11th ed) the name is derived from kao-ling (chinese: "high ridge"), the original site. (from grant & hackh's chemical dictionary, 5th ed)Partial Thromboplastin Time
the time required for the appearance of fibrin strands following the mixing of plasma with phospholipid platelet substitute (e.g., crude cephalins, soybean phosphatides). it is a test of the intrinsic pathway (factors viii, ix, xi, and xii) and the common pathway (fibrinogen, prothrombin, factors v and x) of blood coagulation. it is used as a screening test and to monitor heparin therapy.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.Lacticaseibacillus casei
a rod-shaped bacterium isolated from milk and cheese, dairy products and dairy environments, sour dough, cow dung, silage, and human mouth, human intestinal contents and stools, and the human vagina. l. casei is catalase positive.Lacticaseibacillus paracasei
a species of lacticaseibacillus that occurs in the gut microbiota of healthy humans as well as fermented dairy products and fermented vegetables. it is used as a probiotic.Lacticaseibacillus rhamnosus
a species of gram-positive, rod-shaped bacteria used in probiotics.Lactobacillus
a genus of gram-positive, microaerophilic, rod-shaped bacteria occurring widely in nature. its species are also part of the many normal flora of the mouth, intestinal tract, and vagina of many mammals, including humans. lactobacillus species are homofermentative and ferment a broad spectrum of carbohydrates often host-adapted but do not ferment pentoses. most members were previously assigned to the lactobacillus delbrueckii group. pathogenicity from this genus is rare.Lactobacillus acidophilus
a species of gram-positive, rod-shaped bacteria isolated from the intestinal tract of humans and animals, the human mouth, and vagina. this organism produces the fermented product, acidophilus milk.Lactobacillus crispatus
a species of lactobacillus that occurs in the human gastrointestinal tract and the vagina of healthy women. it produces lactic acid and hydrogen peroxide, and is used as a probiotic. it is also used for the treatment and prevention of bacterial vaginosis.Lactobacillus delbrueckii
a species of gram-positive, rod-shaped, facultatively anaerobic bacteria. capable of producing lactic acid. it is important in the manufacture of fermented dairy products.Lactobacillus gasseri
a species of lactobacillus that occurs in the human oral mucosa; gastrointestinal tract; and vagina. it produces bacteriocins, can modulate the immune response, and is used as a probiotic.Lactobacillus helveticus
a species of gram-positive bacteria isolated from milk and cheese-starter cultures.Lactobacillus johnsonii
a species of lactobacillus that occurs in the human gastrointestinal tract and vagina. it produces bacteriocins and hydrogen peroxide and is used as a probiotic.Lactobacillus leichmannii
a species of gram-negative bacteria isolated from milk, cheese, and compressed yeast.Lactobacillus pentosus
a species of lactobacillus that occurs in fermented foods where its ability to produce lactic acid; anti-infective agents; and bacteriocins make it useful as a food preservation agent. it is also used as a probiotic.Lactobacillus plantarum
a species of rod-shaped, lactic acid bacteria used in probiotics and silage production.Latilactobacillus sakei
a species of lactobacillus that occurs in fermented meat and fish. it produces the bacteriocin sakacin p and is used for food preservation and as a probiotic.Levilactobacillus brevis
a species of gram-positive, rod-shaped lactic acid bacteria that is frequently used as starter culture in silage fermentation, sourdough, and lactic-acid-fermented types of beer and wine.Ligilactobacillus salivarius
a species of lactobacillus that occurs in the human gastrointestinal tract and oral mucosa. it produces bacteriocins and is used as a probiotic.Limosilactobacillus fermentum
a species of gram-positive, rod-shaped bacteria associated with dental caries.Limosilactobacillus reuteri
a species of gram-positive, rod-shaped lactic acid bacteria found naturally in the human intestinal flora and breast milk.Loperamide
one of the long-acting synthetic antidiarrheals; it is not significantly absorbed from the gut, and has no effect on the adrenergic system or central nervous system, but may antagonize histamine and interfere with acetylcholine release locally.Saccharomyces boulardii
a species of saccharomyces that is used as a probiotic, such as in the treatment of diarrhea and pseudomembranous enterocolitis associated with clostridium infections.
Coding Guidelines
When coding a poisoning or reaction to the improper use of a medication (e.g., overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories T36-T50. The poisoning codes have an associated intent as their 5th or 6th character (accidental, intentional self-harm, assault and undetermined. If the intent of the poisoning is unknown or unspecified, code the intent as accidental intent. The undetermined intent is only for use if the documentation in the record specifies that the intent cannot be determined. Use additional code(s) for all manifestations of poisonings.
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
Present on Admission (POA)
T47.6X4S 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 Indicator | Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert T47.6X4S to ICD-9-CM
- ICD-9-CM Code: 909.0 - Late eff drug poisoning
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: E989 - Late eff inj-undet circ
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 T47.6X4 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 |
---|---|---|---|---|---|---|
Activated charcoal [See Also: Charcoal, medicinal] | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Amylopectin | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Antidiarrheal drug NEC | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Antidiarrheal drug NEC »absorbent | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Attapulgite | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »aluminate | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »anti-infectives | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »formic iodide | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »glycolylarsenate | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »nonmedicinal (compounds) NEC | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »subcarbonate | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »subsalicylate | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »sulfarsphenamine | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Carbo medicinalis | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »activated [See Also: Charcoal, medicinal] | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »fumes (Carbon monoxide) | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »fumes (Carbon monoxide) »industrial | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »medicinal (activated) | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »medicinal (activated) »antidiarrheal | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »medicinal (activated) »poison control | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »medicinal (activated) »specified use other than for diarrhea | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »medicinal (activated) »topical | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Difenoxin | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Diphenoxylate | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Fetoxilate | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Intestinal motility control drug | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Intestinal motility control drug »biological | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Kaolin | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Kaolin »light | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lactobacillus | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lactobacillus »acidophilus | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lactobacillus »acidophilus »compound | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lactobacillus »bifidus, lyophilized | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lactobacillus »bulgaricus | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lactobacillus »sporogenes | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lignin hemicellulose | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lomotil | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Loperamide | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Miyari bacteria | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Pectin | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Saccharomyces boulardii | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Patient Education
Poisoning
A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include:
- Prescription or over-the-counter medicines taken in doses that are too high
- Overdoses of illegal drugs
- Carbon monoxide from gas appliances
- Household products, such as laundry powder or furniture polish
- Pesticides
- Indoor or outdoor plants
- Metals such as lead and mercury
The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.
[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.