2024 ICD-10-CM Diagnosis Code T47.5X4D

Poisoning by digestants, undetermined, subsequent encounter

ICD-10-CM Code:
T47.5X4D
ICD-10 Code for:
Poisoning by digestants, undetermined, subsequent encounter
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)

T47.5X4D is a billable diagnosis code used to specify a medical diagnosis of poisoning by digestants, undetermined, subsequent encounter. 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.

T47.5X4D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like poisoning by digestants undetermined. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.

Clinical Classification

Clinical Information

  • Betaine

    a naturally occurring compound that has been of interest for its role in osmoregulation. as a drug, betaine hydrochloride has been used as a source of hydrochloric acid in the treatment of hypochlorhydria. betaine has also been used in the treatment of liver disorders, for hyperkalemia, for homocystinuria, and for gastrointestinal disturbances. (from martindale, the extra pharmacopoeia, 30th ed, p1341)
  • Betaine-Aldehyde Dehydrogenase

    an nad+ dependent enzyme that catalyzes the oxidation of betain aldehyde to betaine.
  • Betaine-Homocysteine S-Methyltransferase

    a zinc metalloenzyme that catalyzes the transfer of a methyl group from betaine to homocysteine to produce dimethylglycine and methionine, respectively. this enzyme is a member of a family of zinc-dependent methyltransferases that use thiols or selenols as methyl acceptors.
  • Chenodeoxycholic Acid

    a bile acid, usually conjugated with either glycine or taurine. it acts as a detergent to solubilize fats for intestinal absorption and is reabsorbed by the small intestine. it is used as cholagogue, a choleretic laxative, and to prevent or dissolve gallstones.
  • Cholic Acid

    a major primary bile acid produced in the liver and usually conjugated with glycine or taurine. it facilitates fat absorption and cholesterol excretion.
  • Cholic Acids

    the 3 alpha,7 alpha,12 alpha-trihydroxy-5 beta-cholanic acid family of bile acids in man, usually conjugated with glycine or taurine. they act as detergents to solubilize fats for intestinal absorption, are reabsorbed by the small intestine, and are used as cholagogues and choleretics.
  • Citric Acid

    a key intermediate in metabolism. it is an acid compound found in citrus fruits. the salts of citric acid (citrates) can be used as anticoagulants due to their calcium chelating ability.
  • Citric Acid Cycle

    a series of oxidative reactions in the breakdown of acetyl units derived from glucose; fatty acids; or amino acids by means of tricarboxylic acid intermediates. the end products are carbon dioxide, water, and energy in the form of phosphate bonds.
  • Dehydrocholic Acid

    a semisynthetic bile acid made from cholic acid. it is used as a cholagogue, hydrocholeretic, diuretic, and as a diagnostic aid.
  • Asarum

    a plant genus of the family aristolochiaceae which was used medicinally by north american indians. the common name of 'snakeroot' is also used for many other plants, including sanicula; or aristolochia; or polygala.
  • Ginger

    deciduous plant rich in volatile oil (oils, volatile). it is used as a flavoring agent and has many other uses both internally and topically.
  • Glutamate Decarboxylase

    a pyridoxal-phosphate protein that catalyzes the alpha-decarboxylation of l-glutamic acid to form gamma-aminobutyric acid and carbon dioxide. the enzyme is found in bacteria and in invertebrate and vertebrate nervous systems. it is the rate-limiting enzyme in determining gamma-aminobutyric acid levels in normal nervous tissues. the brain enzyme also acts on l-cysteate, l-cysteine sulfinate, and l-aspartate. ec 4.1.1.15.
  • Glutamates

    derivatives of glutamic acid. included under this heading are a broad variety of acid forms, salts, esters, and amides that contain the 2-aminopentanedioic acid structure.
  • Glutamic Acid

    a non-essential amino acid naturally occurring in the l-form. glutamic acid is the most common excitatory neurotransmitter in the central nervous system.
  • Plasminogen

    precursor of plasmin (fibrinolysin). it is a single-chain beta-globulin of molecular weight 80-90,000 found mostly in association with fibrinogen in plasma; plasminogen activators change it to fibrinolysin. it is used in wound debriding and has been investigated as a thrombolytic agent.
  • RNA, Transfer, Glu

    a transfer rna which is specific for carrying glutamic acid to sites on the ribosomes in preparation for protein synthesis.
  • Pancreatin

    a mammalian pancreatic extract composed of enzymes with protease, amylase and lipase activities. it is used as a digestant in pancreatic malfunction.
  • Pancrelipase

    a preparation of hog pancreatic enzymes standardized for lipase content.
  • Coronavirus Papain-Like Proteases

    papain-like proteases that occur in species of coronaviridae. some species have more than one papain-like protease gene.
  • Papain

    a proteolytic enzyme obtained from carica papaya. it is also the name used for a purified mixture of papain and chymopapain that is used as a topical enzymatic debriding agent. ec 3.4.22.2.

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)

T47.5X4D 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 T47.5X4D to ICD-9-CM

  • ICD-9-CM Code: V58.89 - Other specfied aftercare
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Table of Drugs and Chemicals

The parent code T47.5X4 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
AmylaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Anise oilT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
AntiflatulentT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
b-galactosidaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
BetaineT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Bile saltsT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
CarminativeT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Chenodeoxycholic acidT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
ChenodiolT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
CholagoguesT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
CholereticT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Cholic acidT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Citric acidT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Cytochrome CT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
DecholinT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Dehydrocholic acidT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
DiastaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Digestant NECT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
DillT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
ElastaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
FlorantyroneT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
b-GalactosidaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Gastric enzymesT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
GentianT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Gentian
  »violet
T47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
GingerT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Ginger
  »Jamaica
T47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Glutamic acidT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
LipancreatinT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Ox bile extractT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
PancreatinT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
PancrelipaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
PapainT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Papain
  »digestant
T47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Peppermint (oil)T47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
PepsinT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
Pepsin
  »digestant
T47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
PhenylpropanolT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
ProteaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6
TilactaseT47.5X1T47.5X2T47.5X3T47.5X4T47.5X5T47.5X6

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.