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ICD-10 Guide
ICD-10 CodesChapter 19: Injury, poisoning and other consequences of external causesT47

T47

Non-billable

Poisoning by, adverse effect of and underdosing of agents primarily affecting the gastrointestinal system

Chapter 19:Injury, poisoning and other consequences of external causes

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 T47 is a used to indicate a diagnosis of poisoning by, adverse effect of and underdosing of agents primarily affecting the gastrointestinal system.

Key Diagnostic Point:

ICD-10 Level 1 Category code T47 encompasses poisoning, adverse effects, and underdosing of agents primarily affecting the gastrointestinal system. This category includes a variety of substances that can lead to harmful effects on the gastrointestinal tract, such as medications, chemicals, and other agents. Conditions covered under T47 may involve acute poisoning incidents, chronic adverse reactions to medications, or situations where patients do not receive adequate dosing of necessary gastrointestinal agents, leading to suboptimal therapeutic outcomes. Proper coding in this category is crucial for accurate patient diagnosis and treatment planning, as well as for appropriate reimbursement from insurance providers.

  • The clinical significance of T47 lies in its ability to capture a range of gastrointestinal-related issues that can arise from medication management. Healthcare providers must be vigilant in identifying and documenting instances of poisoning or adverse effects, as these can lead to serious health complications if not addressed promptly. Additionally, underdosing can result in ineffective treatment, necessitating careful monitoring and adjustment of medication regimens. Usage guidelines for T47 codes emphasize the importance of thorough documentation to support the diagnosis and ensure that all relevant clinical details are captured for optimal patient care and billing accuracy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of substances covered
  • Potential for misdiagnosis
  • Need for detailed documentation

Audit Risk Factors

  • Inadequate documentation
  • Misuse of codes
  • Failure to specify agent involved

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Toxicology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the T47 code category is significant, as it directly relates to patient safety and quality of care. Accurate coding of gastrointestinal poisoning and adverse effects can lead to improved patient outcomes through timely intervention and appropriate treatment adjustments. Furthermore, this category plays a role in population health management by identifying trends in medication-related issues, which can inform public health initiatives and educational efforts aimed at reducing the incidence of such events.
On the administrative side, proper use of T47 codes is essential for ensuring appropriate reimbursement and minimizing audit risks. As healthcare systems increasingly focus on quality measures and value-based care, the accurate documentation and coding of gastrointestinal-related conditions will be crucial for demonstrating compliance with quality standards and achieving favorable reimbursement rates. Overall, T47 serves as a vital tool in both clinical practice and healthcare administration.

ICD-9 vs ICD-10

The clinical and administrative impact of the T47 code category is significant, as it directly relates to patient safety and quality of care. Accurate coding of gastrointestinal poisoning and adverse effects can lead to improved patient outcomes through timely intervention and appropriate treatment adjustments. Furthermore, this category plays a role in population health management by identifying trends in medication-related issues, which can inform public health initiatives and educational efforts aimed at reducing the incidence of such events. On the administrative side, proper use of T47 codes is essential for ensuring appropriate reimbursement and minimizing audit risks. As healthcare systems increasingly focus on quality measures and value-based care, the accurate documentation and coding of gastrointestinal-related conditions will be crucial for demonstrating compliance with quality standards and achieving favorable reimbursement rates. Overall, T47 serves as a vital tool in both clinical practice and healthcare administration.

Reimbursement & Billing Impact

reimbursement and minimizing audit risks. As healthcare systems increasingly focus on quality measures and value-based care, the accurate documentation and coding of gastrointestinal-related conditions will be crucial for demonstrating compliance with quality standards and achieving favorable reimbursement rates. Overall, T47 serves as a vital tool in both clinical practice and healthcare administration.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for T47

Coding & Billing References

  • •
    Official ICD-10 Guidelines for T47

Frequently Asked Questions

What conditions are included in T47?

T47 includes conditions related to poisoning, adverse effects, and underdosing of gastrointestinal agents such as antacids, antiemetics, and laxatives. It covers both acute and chronic situations where these agents have led to harmful effects.

When should I use T47 codes?

T47 codes should be used when a patient presents with symptoms or conditions resulting from poisoning, adverse effects, or underdosing of gastrointestinal medications. Accurate coding is essential for proper treatment and reimbursement.

What documentation is required for T47?

Documentation for T47 must include a clear description of the agent involved, the nature of the poisoning or adverse effect, and any relevant clinical findings. This ensures that the coding accurately reflects the patient's condition.