2024 ICD-10-CM Diagnosis Code T47.1X2A

Poisoning by other antacids and anti-gastric-secretion drugs, intentional self-harm, initial encounter

ICD-10-CM Code:
T47.1X2A
ICD-10 Code for:
Poisn by oth antacids & anti-gstrc-sec drugs, slf-hrm, init
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 agents primarily affecting the gastrointestinal system
        (T47)

T47.1X2A is a billable diagnosis code used to specify a medical diagnosis of poisoning by other antacids and anti-gastric-secretion drugs, intentional self-harm, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

T47.1X2A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like poisoning by other antacids and anti-gastric-secretion drugs intentional self-harm. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Approximate Synonyms

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

  • Aluminum hydroxide overdose
  • Anticholinergic drug overdose
  • Carbenoxolone overdose
  • Carbenoxolone poisoning
  • Carbenoxolone poisoning
  • Intentional aluminum hydroxide overdose
  • Intentional aluminum hydroxide poisoning
  • Intentional carbenoxolone overdose
  • Intentional carbenoxolone poisoning
  • Intentional lansoprazole overdose
  • Intentional lansoprazole poisoning
  • Intentional magnesium trisilicate overdose
  • Intentional magnesium trisilicate poisoning
  • Intentional misoprostol overdose
  • Intentional misoprostol poisoning
  • Intentional omeprazole overdose
  • Intentional omeprazole poisoning
  • Intentional pirenzepine overdose
  • Intentional pirenzepine poisoning
  • Intentional prostaglandin overdose
  • Intentional prostaglandin poisoning
  • Intentional prostaglandin poisoning
  • Intentional sucralfate overdose
  • Intentional sucralfate poisoning
  • Lansoprazole overdose
  • Lansoprazole poisoning
  • Lansoprazole poisoning
  • Magnesium trisilicate overdose
  • Misoprostol overdose
  • Misoprostol poisoning
  • Misoprostol poisoning
  • Omeprazole overdose
  • Omeprazole poisoning
  • Omeprazole poisoning
  • Pirenzepine overdose
  • Pirenzepine poisoning
  • Pirenzepine poisoning
  • Poisoning by aluminum hydroxide
  • Poisoning by aluminum hydroxide
  • Poisoning by magnesium trisilicate
  • Poisoning by magnesium trisilicate
  • Prostaglandin overdose
  • Proton pump inhibitor overdose
  • Proton pump inhibitor overdose
  • Sucralfate overdose
  • Sucralfate poisoning
  • Sucralfate poisoning

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: intent of injury, self-harmEXT021N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
External cause codes: poisoning by drugEXT014N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Poisoning by drugs, initial encounterINJ022N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Suicidal ideation/attempt/intentional self-harmMBD012Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Burimamide

    an antagonist of histamine that appears to block both h2 and h3 histamine receptors. it has been used in the treatment of ulcers.
  • Carbenoxolone

    an agent derived from licorice root. it is used for the treatment of digestive tract ulcers, especially in the stomach. antidiuretic side effects are frequent, but otherwise the drug is low in toxicity.
  • Enprostil

    a synthetic pge2 analog that has an inhibitory effect on gastric acid secretion, a mucoprotective effect, and a postprandial lowering effect on gastrin. it has been shown to be efficient and safe in the treatment of gastroduodenal ulcers.
  • Metiamide

    a histamine h2 receptor antagonist that is used as an anti-ulcer agent.
  • Misoprostol

    a synthetic analog of natural prostaglandin e1. it produces a dose-related inhibition of gastric acid and pepsin secretion, and enhances mucosal resistance to injury. it is an effective anti-ulcer agent and also has oxytocic properties.
  • Omeprazole

    a 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of stomach ulcers and zollinger-ellison syndrome. the drug inhibits an h(+)-k(+)-exchanging atpase which is found in gastric parietal cells.
  • Pirenzepine

    an antimuscarinic agent that inhibits gastric secretion at lower doses than are required to affect gastrointestinal motility, salivary, central nervous system, cardiovascular, ocular, and urinary function. it promotes the healing of duodenal ulcers and due to its cytoprotective action is beneficial in the prevention of duodenal ulcer recurrence. it also potentiates the effect of other antiulcer agents such as cimetidine and ranitidine. it is generally well tolerated by patients.
  • Proglumide

    a drug that exerts an inhibitory effect on gastric secretion and reduces gastrointestinal motility. it is used clinically in the drug therapy of gastrointestinal ulcers.
  • Simethicone

    a poly(dimethylsiloxane) which is a polymer of 200-350 units of dimethylsiloxane, along with added silica gel. it is used as an antiflatulent, surfactant, and ointment base.
  • Sucralfate

    a basic aluminum complex of sulfated sucrose.

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

Convert T47.1X2A to ICD-9-CM

  • ICD-9-CM Code: 973.0 - Pois-antacid/antigastric
    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: E950.4 - Poison-drug/medicin NEC
    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 T47.1X2 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
Alexitol sodiumT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
AlgeldrateT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
AlmagateT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
AlmasilateT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
AloglutamolT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
Antacid NECT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
Anti-gastric-secretion drug NECT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
BenexateT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
BurimamideT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
CarbenoxoloneT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
CetraxateT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
Chalk, precipitatedT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
Dihydroxyaluminum aminoacetateT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
Dihydroxyaluminum sodium carbonateT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
DimethiconeT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
DimeticoneT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
EnprostilT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
HydrotalciteT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
MagaldrateT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
Magnesia magmaT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
MethylpolysiloxaneT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
MetiamideT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
Milk of magnesiaT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
MisoprostolT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
OmeprazoleT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
OrnoprostilT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
PepstatinT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
PirenzepineT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
ProglumideT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
RolaidsT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
RosaprostolT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
SimaldrateT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
SimethiconeT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
SucralfateT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6
SulglicotideT47.1X1T47.1X2T47.1X3T47.1X4T47.1X5T47.1X6

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.


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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.

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.