2024 ICD-10-CM Diagnosis Code T49.3X4S

Poisoning by emollients, demulcents and protectants, undetermined, sequela

ICD-10-CM Code:
T49.3X4S
ICD-10 Code for:
Poisn by emollients, demulcents and protect, undet, 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)

T49.3X4S is a billable diagnosis code used to specify a medical diagnosis of poisoning by emollients, demulcents and protectants, 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.

T49.3X4S 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 emollients demulcents and protectants 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.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Foreign body granuloma of muscle
  • Nodule in muscle
  • Nodule of skin of abdomen
  • Nodule of umbilical structure
  • Sarcoidal granuloma of skin
  • Talc granuloma of muscle
  • Talc granuloma of skin
  • Talc granuloma of umbilicus
  • Umbilical granuloma

Clinical Classification

Clinical Information

  • Umbilical Granuloma

    excessive granulation tissue at the base of the umbilicus after separation.
  • Foreign Body Granuloma of Muscle

    an inflammatory lesion in the muscle comprised of epithelioid histiocytes and chronic inflammation that is caused by the presence of extraneous material .

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 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

Present on Admission (POA)

T49.3X4S 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 T49.3X4S 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 T49.3X4 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


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.