2024 ICD-10-CM Diagnosis Code T47.4X4S

Poisoning by other laxatives, undetermined, sequela

ICD-10-CM Code:
T47.4X4S
ICD-10 Code for:
Poisoning by other laxatives, undetermined, 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 agents primarily affecting the gastrointestinal system
        (T47)

T47.4X4S is a billable diagnosis code used to specify a medical diagnosis of poisoning by other laxatives, 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.

T47.4X4S 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 other laxatives 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 Information

  • Carbohydrate Binding Modules

    contiguous amino acid sequences within a carbohydrate-active enzyme with discrete folds having carbohydrate binding activity. they are classified into 43 different families based on amino acid sequence, binding specificity, and structure.
  • Carboxymethylcellulose Sodium

    a cellulose derivative which is a beta-(1,4)-d-glucopyranose polymer. it is used as a bulk laxative and as an emulsifier and thickener in cosmetics and pharmaceuticals and as a stabilizer for reagents.
  • Cellulose

    a polysaccharide with glucose units linked as in cellobiose. it is the chief constituent of plant fibers, cotton being the purest natural form of the substance. as a raw material, it forms the basis for many derivatives used in chromatography, ion exchange materials, explosives manufacturing, and pharmaceutical preparations.
  • Cellulose 1,4-beta-Cellobiosidase

    an exocellulase with specificity for the hydrolysis of 1,4-beta-d-glucosidic linkages in cellulose and cellotetraose. it catalyzes the hydrolysis of terminal non-reducing ends of beta-d-glucosides with release of cellobiose.
  • Cellulose, Oxidized

    a cellulose of varied carboxyl content retaining the fibrous structure. it is commonly used as a local hemostatic and as a matrix for normal blood coagulation.
  • Collodion

    a nitrocellulose solution in ether and alcohol. collodion has a wide range of uses in industry including applications in the manufacture of photographic film, in fibers, in lacquers, and in engraving and lithography. in medicine it is used as a drug solvent and a wound sealant.
  • Electrophoresis, Cellulose Acetate

    electrophoresis in which cellulose acetate is the diffusion medium.
  • Methylcellulose

    methylester of cellulose. methylcellulose is used as an emulsifying and suspending agent in cosmetics, pharmaceutics and the chemical industry. it is used therapeutically as a bulk laxative.
  • alpha-Chlorohydrin

    a chlorinated propanediol with antifertility activity in males used as a chemosterilant in rodents.
  • Glycerol

    a trihydroxy sugar alcohol that is an intermediate in carbohydrate and lipid metabolism. it is used as a solvent, emollient, pharmaceutical agent, or sweetening agent.
  • Glycerol Kinase

    an enzyme that catalyzes the formation of glycerol 3-phosphate from atp and glycerol. dihydroxyacetone and l-glyceraldehyde can also act as acceptors; utp and, in the case of the yeast enzyme, itp and gtp can act as donors. it provides a way for glycerol derived from fats or glycerides to enter the glycolytic pathway. ec 2.7.1.30.
  • Glycerol-3-Phosphate Dehydrogenase (NAD+)

    an nad-dependent enzyme that catalyzes the oxidation of sn-glycerol 3-phosphate to glycerone phosphate.
  • Glycerol-3-Phosphate O-Acyltransferase

    an enzyme that transfers acyl groups from acyl-coa to glycerol-3-phosphate to form monoglyceride phosphates. it acts only with coa derivatives of fatty acids of chain length above c-10. also forms diglyceride phosphates. ec 2.3.1.15.
  • Glycerolphosphate Dehydrogenase

  • Glycerophosphates

    any salt or ester of glycerophosphoric acid.
  • Glyceryl Ethers

    compounds in which one or more of the three hydroxyl groups of glycerol are in ethereal linkage with a saturated or unsaturated aliphatic alcohol; one or two of the hydroxyl groups of glycerol may be esterified. these compounds have been found in various animal tissue.
  • Glycerylphosphorylcholine

    a component of phosphatidylcholines or lecithins, in which the two hydroxy groups of glycerol are esterified with fatty acids. (from stedman, 26th ed)
  • Guaifenesin

    an expectorant that also has some muscle relaxing action. it is used in many cough preparations.
  • Monoacylglycerol Lipases

    an enzyme that catalyzes the hydrolysis of glycerol monoesters of long-chain fatty acids ec 3.1.1.23.
  • Phosphatidylglycerols

    a nitrogen-free class of lipids present in animal and particularly plant tissues and composed of one mole of glycerol and 1 or 2 moles of phosphatidic acid. members of this group differ from one another in the nature of the fatty acids released on hydrolysis.
  • Phospholipid Ethers

    phospholipids which have an alcohol moiety in ethereal linkage with a saturated or unsaturated aliphatic alcohol. they are usually derivatives of phosphoglycerols or phosphatidates. the other two alcohol groups of the glycerol backbone are usually in ester linkage. these compounds are widely distributed in animal tissues.
  • Teichoic Acids

    bacterial polysaccharides that are rich in phosphodiester linkages. they are the major components of the cell walls and membranes of many bacteria.
  • Triolein

    (z)-9-octadecenoic acid 1,2,3-propanetriyl ester.
  • Triose Sugar Alcohols

    sugar alcohol molecules that contain three carbons.
  • Poloxamer

    a nonionic polyoxyethylene-polyoxypropylene block co-polymer with the general formula ho(c2h4o)a(-c3h6o)b(c2h4o)ah. it is available in different grades which vary from liquids to solids. it is used as an emulsifying agent, solubilizing agent, surfactant, and wetting agent for antibiotics. poloxamer is also used in ointment and suppository bases and as a tablet binder or coater. (martindale the extra pharmacopoeia, 31st ed)
  • L-Iditol 2-Dehydrogenase

    an alcohol oxidoreductase which catalyzes the oxidation of l-iditol to l-sorbose in the presence of nad. it also acts on d-glucitol to form d-fructose. it also acts on other closely related sugar alcohols to form the corresponding sugar. ec 1.1.1.14
  • Sorbitol

    a polyhydric alcohol with about half the sweetness of sucrose. sorbitol occurs naturally and is also produced synthetically from glucose. it was formerly used as a diuretic and may still be used as a laxative and in irrigating solutions for some surgical procedures. it is also used in many manufacturing processes, as a pharmaceutical aid, and in several research applications.
  • Malvaceae

    the mallow family of the order malvales, subclass dilleniidae, class magnoliopsida. the common names of hollyhock and mallow are used for several genera of malvaceae.
  • Sterculia

    a plant genus of the family sterculiaceae. s. urens is the source of karaya gum which is sometimes called indian tragacanth, which is different from the true tragacanth which comes from astragalus gummifer.

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)

T47.4X4S 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 T47.4X4S 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 T47.4X4 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
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

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.