2024 ICD-10-CM Diagnosis Code T47.6X5A
Adverse effect of antidiarrheal drugs, initial encounter
- ICD-10-CM Code:
- T47.6X5A
- ICD-10 Code for:
- Adverse effect of antidiarrheal drugs, initial encounter
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
T47.6X5A is a billable diagnosis code used to specify a medical diagnosis of adverse effect of antidiarrheal drugs, initial 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.
This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
T47.6X5A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like adverse effect of antidiarrheal drugs. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
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 bismuth and/or bismuth compound
- Adverse reaction to bismuth subnitrate and/or iodoform
- Adverse reaction to diphenoxylate
- Adverse reaction to pectin
- Antidiarrheal drug adverse reaction
- Charcoal activated adverse reaction
- Kaolin adverse reaction
- Loperamide adverse reaction
- Non-melanin pigmentation due to exogenous substance
- Pigmentation due to bismuth
Clinical Classification
Clinical Category is Adverse effects of drugs and medicaments, initial encounter
- CCSR Category Code: INJ028
- Inpatient Default CCSR: X - Not applicable.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
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.
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 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
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:
- Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.
Convert T47.6X5A to ICD-9-CM
- ICD-9-CM Code: 995.29 - Adv eff med/biol NEC/NOS
Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment. - ICD-9-CM Code: E943.5 - Adv eff antidiarrhea agt
Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
Table of Drugs and Chemicals
The parent code T47.6X5 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 |
---|---|---|---|---|---|---|
Activated charcoal [See Also: Charcoal, medicinal] | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Amylopectin | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Antidiarrheal drug NEC | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Antidiarrheal drug NEC »absorbent | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Attapulgite | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »aluminate | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »anti-infectives | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »formic iodide | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »glycolylarsenate | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »nonmedicinal (compounds) NEC | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »subcarbonate | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »subsalicylate | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Bismuth salts »sulfarsphenamine | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Carbo medicinalis | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »activated [See Also: Charcoal, medicinal] | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »fumes (Carbon monoxide) | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »fumes (Carbon monoxide) »industrial | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »medicinal (activated) | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »medicinal (activated) »antidiarrheal | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »medicinal (activated) »poison control | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »medicinal (activated) »specified use other than for diarrhea | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Charcoal »medicinal (activated) »topical | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Difenoxin | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Diphenoxylate | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Fetoxilate | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Intestinal motility control drug | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Intestinal motility control drug »biological | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Kaolin | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Kaolin »light | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lactobacillus | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lactobacillus »acidophilus | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lactobacillus »acidophilus »compound | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lactobacillus »bifidus, lyophilized | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lactobacillus »bulgaricus | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lactobacillus »sporogenes | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lignin hemicellulose | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Lomotil | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Loperamide | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Miyari bacteria | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Pectin | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
Saccharomyces boulardii | T47.6X1 | T47.6X2 | T47.6X3 | T47.6X4 | T47.6X5 | T47.6X6 |
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.
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.