ICD-10 Code T47.4X2

Poisoning by other laxatives, intentional self-harm

Version 2019 Replaced Code Non-Billable Code Poisoning Intentional

Not Valid for Submission

T47.4X2 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, intentional self-harm. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10: T47.4X2
Short Description:Poisoning by other laxatives, intentional self-harm
Long Description:Poisoning by other laxatives, intentional self-harm

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

  • T47.4X2A - Poisoning by other laxatives, intentional self-harm, initial encounter
  • T47.4X2D - Poisoning by other laxatives, intentional self-harm, subsequent encounter
  • T47.4X2S - Poisoning by other laxatives, intentional self-harm, sequela

Replaced Code

This code was replaced in the 2020 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, 2019. This code was replaced for the FY 2020 (October 1, 2019 - September 30, 2020).

  • 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)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (first year ICD-10-CM implemented into the HIPAA mandated code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Medical Professionals

Synonyms

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

  • Bulk-forming laxative overdose
  • Bulk-forming laxative poisoning
  • Dioctyl sulfosuccinate overdose
  • Docusate overdose
  • Docusate poisoning
  • Intentional anthraquinone laxative overdose
  • Intentional bulk-forming laxative overdose
  • Intentional bulk-forming laxative poisoning
  • Intentional dioctyl sulfosuccinate overdose
  • Intentional docusate overdose
  • Intentional docusate poisoning
  • Intentional magnesium sulfate overdose
  • Intentional magnesium sulfate poisoning
  • Magnesium sulfate overdose
  • Overdose of emollient cathartic drug
  • Poisoning by emollient cathartic
  • Poisoning by magnesium sulfate

Table of Drugs and Chemicals

The code T47.4X2 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


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]

Self-Harm

What is self-harm?

Self-harm, or self-injury, is when a person hurts his or her own body on purpose. The injuries may be minor, but sometimes they can be severe. They may leave permanent scars or cause serious health problems. Some examples are

  • Cutting yourself (such as using a razor blade, knife, or other sharp object to cut your skin)
  • Punching yourself or punching things (like a wall)
  • Burning yourself with cigarettes, matches, or candles
  • Pulling out your hair
  • Poking objects through body openings
  • Breaking your bones or bruising yourself

Self-harm is not a mental disorder. It is a behavior - an unhealthy way to cope with strong feelings. However, some of the people who harm themselves do have a mental disorder.

People who harm themselves are usually not trying to kill themselves. But they are at higher risk of attempting suicide if they do not get help.

Why do people harm themselves?

There are different reasons why people harm themselves. Often, they have trouble coping and dealing with their feelings. They harm themselves to try to

  • Make themselves feel something, when they feel empty or numb inside
  • Block upsetting memories
  • Show that they need help
  • Release strong feelings that overwhelm them, such as anger, loneliness, or hopelessness
  • Punish themselves
  • Feel a sense of control

Who is at risk for self-harm?

There are people of all ages who harm themselves, but it usually starts in the teen or early adult years. Self-harm is more common in people who

  • Were abused or went through a trauma as children
  • Have mental disorders, such as
    • Depression
    • Eating disorders
    • Post-traumatic stress disorder
    • Certain personality disorders
  • Abuse drugs or alcohol
  • Have friends who self-harm
  • Have low self-esteem

What are the signs of self-harm?

Signs that someone may be hurting themselves include

  • Having frequent cuts, bruises, or scars
  • Wearing long sleeves or pants even in hot weather
  • Making excuses about injuries
  • Having sharp objects around for no clear reason

How can I help someone who self-harms?

If someone you know is self-harming, it is important not to be judgmental. Let that person know that you want to help. If the person is a child or teenager, ask him or her to talk to a trusted adult. If he or she won't do that, talk to a trusted adult yourself. If the person who is self-harming is an adult, suggest mental health counseling.

What the treatments are for self-harm?

There are no medicines to treat self-harming behaviors. But there are medicines to treat any mental disorders that the person may have, such as anxiety and depression. Treating the mental disorder may weaken the urge to self-harm.

Mental health counseling or therapy can also help by teaching the person

  • Problem-solving skills
  • New ways to cope with strong emotions
  • Better relationship skills
  • Ways to strengthen self-esteem

If the problem is severe, the person may need more intensive treatment in a psychiatric hospital or a mental health day program.


[Learn 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.