ICD-10 Code T47.4X1

Poisoning by other laxatives, accidental (unintentional)

Version 2019 Replaced Code Non-Billable Code Poisoning Accidental
ICD-10:T47.4X1
Short Description:Poisoning by other laxatives, accidental (unintentional)
Long Description:Poisoning by other laxatives, accidental (unintentional)

Not Valid for Submission

ICD-10 T47.4X1 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of poisoning by other laxatives, accidental (unintentional). The code is NOT valid for the year 2019 for the submission of HIPAA-covered transactions.

Consider the following ICD-10 codes with a higher level of specificity:

  • T47.4X1A - Poisoning by other laxatives, accidental (unintentional), initial encounter
  • T47.4X1D - Poisoning by other laxatives, accidental (unintentional), subsequent encounter
  • T47.4X1S - Poisoning by other laxatives, accidental (unintentional), sequela

Deleted Code

This code was deleted in the 2019 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2018. This code was replaced for the FY 2019 (October 1, 2018 - September 30, 2019).

  • K59.03 - Drug induced constipation

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances (T36-T50)
      • Agents primarily affecting the gastrointestinal system (T47)

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code T47.4X1 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 917 - POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
  • 918 - POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
  • 922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
  • 923 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
  • 949 - AFTERCARE WITH CC/MCC
  • 950 - AFTERCARE WITHOUT CC/MCC

Synonyms

The following clinical terms are approximate synonyms:

  • Accidental anthraquinone laxative overdose
  • Accidental bulk-forming laxative overdose
  • Accidental bulk-forming laxative poisoning
  • Accidental dioctyl sulfosuccinate overdose
  • Accidental docusate overdose
  • Accidental docusate poisoning
  • Accidental magnesium sulfate overdose
  • Accidental magnesium sulfate poisoning
  • Anthraquinone laxative overdose
  • Anthraquinone laxative poisoning
  • Bulk-forming laxative overdose
  • Bulk-forming laxative poisoning
  • Diarrhea due to drug
  • Diarrhea due to laxative abuse
  • Dioctyl sulfosuccinate overdose
  • Docusate overdose
  • Docusate poisoning
  • Fleet-like enema poisoning
  • Laxative overdose
  • Laxative poisoning
  • Magnesium sulfate overdose
  • Overdose of emollient cathartic drug
  • Poisoning by emollient cathartic
  • Poisoning by magnesium sulfate

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references for the code T47.4X1 are found in the tabular index:

  • Inclusion Terms:
    • Poisoning by other laxatives NOS

Table of Drugs and Chemicals

The code T47.4X1 is included 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. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. Use as many codes as necessary to describe all reported drugs, medicinal or chemical substances.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
self-harm
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
AgarT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Atonia drug, intestinalT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Bran (wheat)T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Carboxymethyl-celluloseT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
CarmelloseT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cathartic NECT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cathartic NEC
  »anthacene derivative
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cathartic NEC
  »bulk
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cathartic NEC
  »contact
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cathartic NEC
  »emollient NEC
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cathartic NEC
  »irritant NEC
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cathartic NEC
  »mucilage
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cathartic NEC
  »saline
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cathartic NEC
  »vegetable
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
CelluloseT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cellulose
  »cathartic
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cellulose
  »hydroxyethyl
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cellulose
  »nitrates (topical)
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Cellulose
  »oxidized
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
ColaceT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Dioctyl sulfosuccinate (calcium) (sodium)T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Docusate sodiumT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
EthylhydroxycelluloseT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Fecal softenerT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Fiber, dietaryT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
GlycerinT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
GlycerolT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Glycerol
  »borax
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Glycerol
  »intravenous
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Glycerol
  »iodinated
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
IspagulaT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Ispagula
  »husk
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Karaya (gum)T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
KonsylT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Laxative NECT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Laxative NEC
  »osmotic
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Laxative NEC
  »saline
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Laxative NEC
  »stimulant
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
LinseedT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
LiquidT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Liquid
  »paraffin
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Liquid
  »petrolatum
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Liquid
  »petrolatum
    »topical
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Liquid
  »specified NEC
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Liquid
  »substance
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
MetamucilT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
MethylcelluloseT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Methylcellulose
  »laxative
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Mucilage, plantT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Olive oil (medicinal) NECT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Peach kernel oil (emulsion)T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Peanut oil (emulsion) NECT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Peanut oil (emulsion) NEC
  »topical
T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
PoloxalkolT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
PoloxamerT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
PolycarbophilT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Psyllium hydrophilic mucilloidT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Purgative NEC [See Also: Cathartic]T47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
SorbitolT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
SterculiaT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6
Tartrate, laxativeT47.4X1T47.4X2T47.4X3T47.4X4T47.4X5T47.4X6

Information for Patients


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

  • 6 Tips to Avoid Medication Mistakes (Food and Drug Administration)
  • How and when to get rid of unused medicines (Medical Encyclopedia)
  • Keeping your medications organized (Medical Encyclopedia)
  • Medication safety during your hospital stay (Medical Encyclopedia)
  • Medication safety: Filling your prescription (Medical Encyclopedia)
  • Storing your medicines (Medical Encyclopedia)
  • Taking medicine at home - create a routine (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.