2024 ICD-10-CM Diagnosis Code T49.3X5

Adverse effect of emollients, demulcents and protectants

ICD-10-CM Code:
T49.3X5
ICD-10 Code for:
Adverse effect of emollients, demulcents and protectants
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)

T49.3X5 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 emollients, demulcents and protectants. 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 emollients, demulcents and protectants

Non-specific codes like T49.3X5 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 emollients, demulcents and protectants:

  • Use T49.3X5A for initial encounter - BILLABLE CODE

  • Use T49.3X5D for subsequent encounter - BILLABLE CODE

  • Use T49.3X5S 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:

  • Adverse reaction to aluminum and/or aluminum compound
  • Adverse reaction to oil
  • Antidotes for pesticides adverse reaction
  • Arachis oil adverse reaction
  • Aseptic peritonitis
  • Bentonite powder adverse reaction
  • Calamine adverse reaction
  • Chemical peritonitis
  • Collodion adverse reaction
  • Contact dermatitis due to hydrocarbon
  • Emollient adverse reaction
  • Emollient bath additives adverse reaction
  • Fixed oil adverse reaction
  • Glaucoma caused by silicone oil
  • Irritant contact dermatitis caused by emollient substance
  • Irritant contact dermatitis due to drug in contact with skin
  • Lanolin contact dermatitis
  • Lipid granuloma of skin caused by mineral oil
  • Lipogranuloma
  • Oil contact dermatitis
  • Paraffin adverse reaction
  • Paraffinoma of skin
  • Paraffin-white soft adverse reaction
  • Paraffin-yellow soft adverse reaction
  • Retinopathy of left eye caused by talc
  • Retinopathy of right eye caused by talc
  • Silicone adverse reaction
  • Sunscreening preparations adverse reaction
  • Talc peritonitis
  • Wool alcohol adverse reaction

Clinical Information

  • Bentonite

    a colloidal, hydrated aluminum silicate that swells 12 times its dry size when added to water.
  • Benzophenones

    derivatives of benzophenone (with the structural formula phenyl-(c=o)-phenyl).
  • 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.
  • Ichthyosis, Lamellar

    a chronic, congenital ichthyosis inherited as an autosomal recessive trait. infants are usually born encased in a collodion membrane which sheds within a few weeks. scaling is generalized and marked with grayish-brown quadrilateral scales, adherent at their centers and free at the edges. in some cases, scales are so thick that they resemble armored plate.
  • Cottonseed Oil

    oil obtained from the seeds of gossypium herbaceum l., the cotton plant. it is used in dietary products such as oleomargarine and many cooking oils. cottonseed oil is commonly used in soaps and cosmetics.
  • Lanolin

    a yellow fat obtained from sheep's wool. it is used as an emollient, cosmetic, and pharmaceutic aid.
  • Mineral Oil

    a mixture of liquid hydrocarbons obtained from petroleum. it is used as laxative, lubricant, ointment base, and emollient.
  • Petrolatum

    a colloidal system of semisolid hydrocarbons obtained from petroleum. it is used as an ointment base, topical protectant, and lubricant.
  • Chemical Peritonitis

    a non-infectious inflammation of the peritoneum.
  • Erdheim-Chester Disease|ECD|Lipogranulomatosis|Polyostotic Sclerosing Histiocytosis

    a very rare, multisystem non-langerhans cell histiocytosis that predominantly affects adults. it is characterized by the proliferation in the tissues of lipid-laden macrophages and the presence of multinucleated giant cells. it results in sclerosis of the long bones and failure of the affected organs. patients may present with bone pain, exophthalmos, ataxia, liver failure, kidney failure, and hypopituitarism.
  • Farber Lipogranulomatosis

    a very rare autosomal recessive metabolic disorder affecting lipid metabolism. it is caused by mutations in the asah1 gene and is characterized by fatty accumulation in the body tissues. patients develop lipogranulomas in the skin and internal organs, edema and pain in the joints and a hoarse voice. it may be associated with intellectual disability.
  • Large Lipogranuloma Assessment|LPGNLMLG|Large Lipogranuloma|Large Lipogranuloma

    an evaluation of the presence or degree of large lipogranuloma in a sample.
  • Lipogranuloma

    an inflammatory lesion comprised of lipoid material.

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
Acrylic resinT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
AllylthioureaT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Aminobenzoic acid (-p)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Arachis oilT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Arachis oil
  »cathartic
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Barrier creamT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
BentoniteT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
BenzophenonesT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Betula oilT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Calamine (lotion)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
CarbowaxT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Chlordiethyl benzamideT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Cold creamT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
CollodionT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Colophony adhesiveT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Corn starchT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Cornhusker's lotionT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Cottonseed oilT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Cyanoacrylate adhesiveT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Demulcent (external)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Demulcent (external)
  »specified NEC
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Emollient NECT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Filtering creamT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Flaxseed (medicinal)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
HomosalateT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Hydrophilic lotionT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Hydrous wool fatT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
LanolinT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
MecrilateT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
MeladininT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Melanizing agentsT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
MeloxineT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Methoxa-DomeT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
MexenoneT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Nutmeg oil (liniment)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Octafonium (chloride)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Oily preparation (for skin)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Ointment NECT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
OxsoralenT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
PABAT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
PadimateT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Para-aminobenzoic acidT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
PetrolatumT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Petrolatum
  »hydrophilic
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Petrolatum
  »liquid
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Petrolatum
  »liquid
    »topical
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Petrolatum
  »nonmedicinal
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Petrolatum
  »red veterinary
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Petrolatum
  »white
T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Plaster dressingT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Plastic dressingT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Polyethylene adhesiveT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Protectant, skin NECT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
PyroxylinT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Rose water ointmentT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
SalolT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Solar lotionT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
SulisobenzoneT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Sweet oil (birch)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Talc powderT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
TalcumT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
ThiosinamineT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
TrimethylpsoralenT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
TrisoralenT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Ultraviolet light protectantT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Unna's bootT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
VaselineT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Wintergreen (oil)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
Wool fat (hydrous)T49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6
XanthotoxinT49.3X1T49.3X2T49.3X3T49.3X4T49.3X5T49.3X6

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.