2026 ICD-10-CM Diagnosis Code T47.6X4APoisoning by antidiarrheal drugs, undetermined, initial encounter

ICD-10-CM CodesS00–T88T36-T50T47

ICD-10-CM T47.6X4A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T47.6X4A is a billable ICD-10-CM diagnosis code for poisoning by antidiarrheal drugs, undetermined, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 917 through 918. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under External cause codes: intent of injury, undetermined; External cause codes: poisoning by drug; and Poisoning by drugs, initial encounter.

Code Identity

ICD-10-CM Code
T47.6X4A
Billable Status
Yes — Valid for Submission
Code Describes
Poisoning by antidiarrheal drugs, undetermined, initial encounter
Short Description
Poisoning by antidiarrheal drugs, undetermined, init encntr
Parent Code
Poisoning by antidiarrheal drugs, undetermined

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT36-T50Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
CategoryT47Poisoning by, adverse effect of and underdosing of agents primarily affecting the gastrointestinal system
This CodeT47.6X4APoisoning by antidiarrheal drugs, undetermined, initial encounter

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 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EXT023
External cause codes: intent of injury, undetermined
Default principal diagnosis: inpatient No · outpatient No
CCSR EXT014
External cause codes: poisoning by drug
Default principal diagnosis: inpatient No · outpatient No
CCSR INJ022
Poisoning by drugs, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • 1,4-alpha-Glucan Branching Enzyme

    in glycogen or amylopectin synthesis, the enzyme that catalyzes the transfer of a segment of a 1,4-alpha-glucan chain to a primary hydroxy group in a similar glucan chain. ec 2.4.1.18.
  • Amylopectin

    a highly branched glucan in starch.
  • Glycogen Storage Disease Type IV

    an autosomal recessive metabolic disorder due to a deficiency in expression of glycogen branching enzyme 1 (alpha-1,4-glucan-6-alpha-glucosyltransferase), resulting in an accumulation of abnormal glycogen with long outer branches. clinical features are muscle hypotonia and cirrhosis. death from liver disease usually occurs before age 2.
  • Charcoal

    an amorphous form of carbon prepared from the incomplete combustion of animal or vegetable matter, e.g., wood. the activated form of charcoal is used in the treatment of poisoning. (grant & hackh's chemical dictionary, 5th ed)
  • Diphenoxylate

    a meperidine congener used as an antidiarrheal, usually in combination with atropine. at high doses, it acts like morphine. its unesterified metabolite difenoxin has similar properties and is used similarly. it has little or no analgesic activity.
  • Kaolin

    the most common mineral of a group of hydrated aluminum silicates, approximately h2al2si2o8-h2o. it is prepared for pharmaceutical and medicinal purposes by levigating with water to remove sand, etc. (from merck index, 11th ed) the name is derived from kao-ling (chinese: high ridge), the original site. (from grant & hackh's chemical dictionary, 5th ed)
  • Partial Thromboplastin Time

    the time required for the appearance of fibrin strands following the mixing of plasma with phospholipid platelet substitute (e.g., crude cephalins, soybean phosphatides). it is a test of the intrinsic pathway (factors viii, ix, xi, and xii) and the common pathway (fibrinogen, prothrombin, factors v and x) of blood coagulation. it is used as a screening test and to monitor heparin therapy.
  • Bacillus coagulans

    a microaerophilic, lactic acid producing species of bacillus that occurs in fermented foods. it also produces anti-infective agents and is used as a probiotic.
  • Lacticaseibacillus casei

    a rod-shaped bacterium isolated from milk and cheese, dairy products and dairy environments, sour dough, cow dung, silage, and human mouth, human intestinal contents and stools, and the human vagina. l. casei is catalase positive.
  • Lacticaseibacillus paracasei

    a species of lacticaseibacillus that occurs in the gut microbiota of healthy humans as well as fermented dairy products and fermented vegetables. it is used as a probiotic.
  • Lacticaseibacillus rhamnosus

    a species of gram-positive, rod-shaped bacteria used in probiotics.
  • Lactobacillus

    a genus of gram-positive, microaerophilic, rod-shaped bacteria occurring widely in nature. its species are also part of the many normal flora of the mouth, intestinal tract, and vagina of many mammals, including humans. lactobacillus species are homofermentative and ferment a broad spectrum of carbohydrates often host-adapted but do not ferment pentoses. most members were previously assigned to the lactobacillus delbrueckii group. pathogenicity from this genus is rare.
  • Lactobacillus acidophilus

    a species of gram-positive, rod-shaped bacteria isolated from the intestinal tract of humans and animals, the human mouth, and vagina. this organism produces the fermented product, acidophilus milk.
  • Lactobacillus crispatus

    a species of lactobacillus that occurs in the human gastrointestinal tract and the vagina of healthy women. it produces lactic acid and hydrogen peroxide, and is used as a probiotic. it is also used for the treatment and prevention of bacterial vaginosis.
  • Lactobacillus delbrueckii

    a species of gram-positive, rod-shaped, facultatively anaerobic bacteria. capable of producing lactic acid. it is important in the manufacture of fermented dairy products.
  • Lactobacillus gasseri

    a species of lactobacillus that occurs in the human oral mucosa; gastrointestinal tract; and vagina. it produces bacteriocins, can modulate the immune response, and is used as a probiotic.
  • Lactobacillus helveticus

    a species of gram-positive bacteria isolated from milk and cheese-starter cultures.
  • Lactobacillus johnsonii

    a species of lactobacillus that occurs in the human gastrointestinal tract and vagina. it produces bacteriocins and hydrogen peroxide and is used as a probiotic.
  • Lactobacillus leichmannii

    a species of gram-negative bacteria isolated from milk, cheese, and compressed yeast.
  • Lactobacillus pentosus

    a species of lactobacillus that occurs in fermented foods where its ability to produce lactic acid; anti-infective agents; and bacteriocins make it useful as a food preservation agent. it is also used as a probiotic.
  • Lactobacillus plantarum

    a species of rod-shaped, lactic acid bacteria used in probiotics and silage production.
  • Latilactobacillus sakei

    a species of lactobacillus that occurs in fermented meat and fish. it produces the bacteriocin sakacin p and is used for food preservation and as a probiotic.
  • Levilactobacillus brevis

    a species of gram-positive, rod-shaped lactic acid bacteria that is frequently used as starter culture in silage fermentation, sourdough, and lactic-acid-fermented types of beer and wine.
  • Ligilactobacillus salivarius

    a species of lactobacillus that occurs in the human gastrointestinal tract and oral mucosa. it produces bacteriocins and is used as a probiotic.
  • Limosilactobacillus fermentum

    a species of gram-positive, rod-shaped bacteria associated with dental caries.
  • Limosilactobacillus reuteri

    a species of gram-positive, rod-shaped lactic acid bacteria found naturally in the human intestinal flora and breast milk.
  • Loperamide

    one of the long-acting synthetic antidiarrheals; it is not significantly absorbed from the gut, and has no effect on the adrenergic system or central nervous system, but may antagonize histamine and interfere with acetylcholine release locally.
  • Saccharomyces boulardii

    a species of saccharomyces that is used as a probiotic, such as in the treatment of diarrhea and pseudomembranous enterocolitis associated with clostridium infections.

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.

SubstanceAccidentalSelf-harmAssaultUndeter­minedAdverse
Effect
Under­dosing
Activated charcoal [See Also: Charcoal, medicinal]T47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
AmylopectinT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Antidiarrheal drug NECT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Antidiarrheal drug NEC::absorbentT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
AttapulgiteT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Bismuth saltsT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Bismuth salts::aluminateT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Bismuth salts::anti-infectivesT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Bismuth salts::formic iodideT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Bismuth salts::glycolylarsenateT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Bismuth salts::nonmedicinal (compounds) NECT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Bismuth salts::subcarbonateT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Bismuth salts::subsalicylateT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Bismuth salts::sulfarsphenamineT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Carbo medicinalisT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
CharcoalT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Charcoal::activated [See Also: Charcoal, medicinal]T47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Charcoal::fumes (Carbon monoxide)T47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Charcoal::fumes (Carbon monoxide)::industrialT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Charcoal::medicinal (activated)T47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Charcoal::medicinal (activated)::antidiarrhealT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Charcoal::medicinal (activated)::poison controlT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Charcoal::medicinal (activated)::specified use other than for diarrheaT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Charcoal::medicinal (activated)::topicalT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
DifenoxinT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
DiphenoxylateT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
FetoxilateT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Intestinal motility control drugT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Intestinal motility control drug::biologicalT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
KaolinT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Kaolin::lightT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
LactobacillusT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Lactobacillus::acidophilusT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Lactobacillus::acidophilus::compoundT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Lactobacillus::bifidus, lyophilizedT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Lactobacillus::bulgaricusT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Lactobacillus::sporogenesT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Lignin hemicelluloseT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
LomotilT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
LoperamideT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Miyari bacteriaT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
PectinT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6
Saccharomyces boulardiiT47.6X1T47.6X2T47.6X3T47.6X4T47.6X5T47.6X6

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 T47.6X4A to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
973.5 Poisoning-antidiarrh agt
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
E980.4 Undet pois-med agnt NEC
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T47.6X4AOverview

Is T47.6X4A (Poisoning by antidiarrheal drugs, undetermined) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report poisoning by antidiarrheal drugs, undetermined, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in T47.6X4A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for poisoning by antidiarrheal drugs, undetermined, such as an emergency visit or first evaluation.

What MS-DRG does T47.6X4A group to?

When poisoning by antidiarrheal drugs, undetermined, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 917, 918, with relative weights from 0.8571 to 1.5684 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of T47.6X4A?

Under the General Equivalence Mappings, poisoning by antidiarrheal drugs, undetermined, initial encounter converts to ICD-9-CM 973.5 (poisoning-antidiarrh agt) and E980.4 (undet pois-med agnt NEC). The mapping is approximate, so confirm the match fits the documentation.

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.