T47.3X4 vs T47.3X5
T47.3X4 (Poisoning by saline and osmotic laxatives, undetermined) compared with T47.3X5 (Adverse effect of saline and osmotic laxatives), from the official CMS tabular data. T47.3X4 and T47.3X5 code the same substance (Carbamide) with a different intent.
Can these codes be reported together?
Same substance, different intent. T47.3X4 and T47.3X5 code the same substance (Carbamide) with a different circumstance of exposure.
From the CMS Table of Drugs and Chemicals: accidental poisoning, intentional self-harm, assault, undetermined intent, adverse effect and underdosing are mutually exclusive columns — only one of them applies to a given encounter.
Side by side
| T47.3X4Poisoning by saline and osmotic laxatives, undetermined | T47.3X5Adverse effect of saline and osmotic laxatives | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Poisoning by saline and osmotic laxatives, undetermined is a non-billable ICD-10-CM category code (T47.3X4). | Adverse effect of saline and osmotic laxatives is a non-billable ICD-10-CM category code (T47.3X5). |
| 7th character | The appropriate 7th character is to be added to each code from category T47 | The appropriate 7th character is to be added to each code from category T47 |
| Includes | adverse effect of correct substance properly administered poisoning by overdose of substance poisoning by wrong substance given or taken in error underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed | adverse effect of correct substance properly administered poisoning by overdose of substance poisoning by wrong substance given or taken in error underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed |
| Use additional code | code(s) to specify: manifestations of poisoning underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9) | code(s) to specify: manifestations of poisoning underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9) |
| Code first | , for adverse effects, the nature of the adverse effect, such as: adverse effect NOS (T88.7) | , for adverse effects, the nature of the adverse effect, such as: adverse effect NOS (T88.7) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources