2027 ICD-10-CM Diagnosis Code T47.0X4SPoisoning by histamine H2-receptor blockers, undetermined, sequela
T47.0X4S is a billable ICD-10-CM diagnosis code for poisoning by histamine H2-receptor blockers, undetermined, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 922 through 923. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Poisoning/toxic effect/adverse effects/underdosing, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
T47.0X4S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances (T36-T50).
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to T47.0X4S: its own notes plus those printed at T47, block T36-T50, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- adverse effect of correct substance properly administered
- poisoning by overdose of substance
- poisoning by wrong substance given or taken in error
- underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- toxic reaction to local anesthesia in pregnancy (O29.3-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Code First
The underlying condition named in the note is sequenced before this code.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category T47
- Ainitial encounter
- Dsubsequent encounter
- Ssequela this code
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Cimetidine
a histamine congener, it competitively inhibits histamine binding to histamine h2 receptors. cimetidine has a range of pharmacological actions. it inhibits gastric acid secretion, as well as pepsin and gastrin output.Famotidine
a competitive histamine h2-receptor antagonist. its main pharmacodynamic effect is the inhibition of gastric secretion.Nizatidine
a histamine h2 receptor antagonist with low toxicity that inhibits gastric acid secretion. the drug is used for the treatment of duodenal ulcers.Ranitidine
a non-imidazole blocker of those histamine receptors that mediate gastric secretion (h2 receptors). it is used to treat gastrointestinal ulcers.
Table of Drugs and ChemicalsClinical
Substances in the Table of Drugs and Chemicals that reference this code family. Always confirm in the Tabular List before coding.
| Substance | Accidental | Self-harm | Assault | Undetermined | Adverse Effect | Underdosing |
|---|---|---|---|---|---|---|
| Antagonist::H2 receptor | T47.0X1 | T47.0X2 | T47.0X3 | T47.0X4 | T47.0X5 | T47.0X6 |
| Cimetidine | T47.0X1 | T47.0X2 | T47.0X3 | T47.0X4 | T47.0X5 | T47.0X6 |
| Famotidine | T47.0X1 | T47.0X2 | T47.0X3 | T47.0X4 | T47.0X5 | T47.0X6 |
| Nizatidine | T47.0X1 | T47.0X2 | T47.0X3 | T47.0X4 | T47.0X5 | T47.0X6 |
| Ranitidine | T47.0X1 | T47.0X2 | T47.0X3 | T47.0X4 | T47.0X5 | T47.0X6 |
| Roxatidine | T47.0X1 | T47.0X2 | T47.0X3 | T47.0X4 | T47.0X5 | T47.0X6 |
Patient EducationClinical
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:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert T47.0X4S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T47.0X4SOverview
What is the ICD-10 code for poisoning by histamine H2-receptor blockers, undetermined, sequela?
The ICD-10-CM code for poisoning by histamine H2-receptor blockers, undetermined, sequela is T47.0X4S (sometimes written as T470X4S). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is T47.0X4S (Poisoning by histamine H2-receptor blockers, undetermined) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report poisoning by histamine H2-receptor blockers, undetermined, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character S in T47.0X4S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the poisoning by histamine H2-receptor blockers, undetermined itself has resolved, not the original event.
What MS-DRG does T47.0X4S group to?
When poisoning by histamine H2-receptor blockers, undetermined, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 923, 922, with relative weights from 0.9980 to 1.6248 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T47.0X4S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for poisoning by histamine H2-receptor blockers, undetermined, sequela on inpatient claims. The code appears in the Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances (T36-T50) range of the CMS exempt list.
