2024 ICD-10-CM Diagnosis Code T49.2X5

Adverse effect of local astringents and local detergents

ICD-10-CM Code:
T49.2X5
ICD-10 Code for:
Adverse effect of local astringents and local detergents
Is Billable?
Not Valid for Submission
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 topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinorlaryngological and dental drugs
        (T49)

T49.2X5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of adverse effect of local astringents and local detergents. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Adverse effect of local astringents and local detergents

Non-specific codes like T49.2X5 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for adverse effect of local astringents and local detergents:

  • Use T49.2X5A for initial encounter - BILLABLE CODE

  • Use T49.2X5D for subsequent encounter - BILLABLE CODE

  • Use T49.2X5S for sequela - BILLABLE CODE

Approximate Synonyms

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

  • Acne detergicans
  • Adverse reaction caused by detergent
  • Adverse reaction caused by detergent
  • Allergic reaction to detergent
  • Detergent asthma

Clinical Information

  • Hamamelis

    a plant genus of the family hamamelidaceae, order hamamelidales. it is known for the astringent (astringents) extract of leaves and bark used in over the counter preparations. this should not be confused with the similar named hamelia genus (rubiaceae).

Coding Guidelines

When coding an adverse effect of a drug that has been correctly prescribed and properly administered, assign the appropriate code for the nature of the adverse effect followed by the appropriate code for the adverse effect of the drug.

The appropriate 7th character is to be added to each code from block Poisoning by, adverse effect of and underdosing of topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinorlaryngological and dental drugs (T49). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Table of Drugs and Chemicals

The 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
Aluminium, aluminumT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »acetate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »acetate
    »solution
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »aspirin
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »bis (acetylsalicylate)
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »carbonate (gel, basic)
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »chlorhydroxide-complex
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »chloride
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »clofibrate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »diacetate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »glycinate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »hydroxide (gel)
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »hydroxide-magnesium carb. gel
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »magnesium silicate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »nicotinate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »ointment (surgical) (topical)
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »phosphate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »salicylate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »silicate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »sodium silicate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »subacetate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »sulfate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »tannate
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Aluminium, aluminum
  »topical NEC
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Antihemorrhoidal preparationT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Antiperspirant NECT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Astringent (local)T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Astringent (local)
  »specified NEC
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
DetergentT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Detergent
  »external medication
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Detergent
  »local
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Detergent
  »medicinal
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Detergent
  »nonmedicinal
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Detergent
  »specified NEC
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Dial (soap)T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Dial (soap)
  »sedative
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Duponol (C) (EP)T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Green soapT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
HamamelisT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Hexa-germT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
IproheptineT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Lauryl sulfoacetateT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
LowilaT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
pHisoHexT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Polyethanolamine alkyl sulfateT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
SeptisolT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
SulfatostearateT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Tannic acidT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Tannic acid
  »medicinal (astringent)
T49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Vegetable extract, astringentT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6
Witch hazelT49.2X1T49.2X2T49.2X3T49.2X4T49.2X5T49.2X6

Patient Education


Drug Reactions

Most of the time, medicines make our lives better. They reduce aches and pains, fight infections, and control problems such as high blood pressure or diabetes. But medicines can also cause unwanted reactions, such as drug interactions, side effects, and allergies.

What is a drug interaction?

A drug interaction is a change in the way a drug acts in the body when taken with certain other drugs, foods, or supplements or when taken while you have certain medical conditions. Examples include:

  • Two drugs, such as aspirin and blood thinners
  • Drugs and food, such as statins and grapefruit
  • Drugs and supplements, such as gingko and blood thinners
  • Drugs and medical conditions, such as aspirin and peptic ulcers

Interactions could cause a drug to be more or less effective, cause side effects, or change the way one or both drugs work.

What are side effects?

Side effects are unwanted, usually unpleasant, effects caused by medicines. Most are mild, such as a stomachache, dry mouth, or drowsiness, and go away after you stop taking the medicine. Others can be more serious. Sometimes a drug can interact with a disease that you have and cause a side effect. For example, if you have a heart condition, certain decongestants can cause you to have a rapid heartbeat.

What are drug allergies?

Drug allergies are another type of reaction. They can range from mild to life-threatening. Skin reactions, such as hives and rashes, are the most common type. Anaphylaxis, a serious allergic reaction, is less common.

How can I stay safe when taking medicines?

When you start a new prescription or over-the-counter medicine, make sure you understand how to take it correctly. Know which other medicines, foods, and supplements you need to avoid. Always talk to your health care provider or pharmacist if you have questions about your medicines.


[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.