T47.95
T47.95 — Adverse effect of unspecified agents primarily affecting the gastrointestinal system
Non-billable headerICD-10-CM
T47.95 is a non-billable header ICD-10-CM code for adverse effect of unspecified agents primarily affecting the gastrointestinal system. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category T47
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T47.95 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead T47.95
3 child codes. Green means billable.
- T47.95XAAdverse effect of unspecified agents primarily affecting the gastrointestinal system, initial encounter
- T47.95XDAdverse effect of unspecified agents primarily affecting the gastrointestinal system, subsequent encounter
- T47.95XSAdverse effect of unspecified agents primarily affecting the gastrointestinal system, sequela
Related codes at this level
Codes that share T47.9. If T47.95 is not quite right, the correct code is usually one of these.
- T47.91Poisoning by unspecified agents primarily affecting the gastrointestinal system, accidental (unintentional)
- T47.92Poisoning by unspecified agents primarily affecting the gastrointestinal system, intentional self-harm
- T47.93Poisoning by unspecified agents primarily affecting the gastrointestinal system, assault
- T47.94Poisoning by unspecified agents primarily affecting the gastrointestinal system, undetermined
- T47.96Underdosing of unspecified agents primarily affecting the gastrointestinal system
Questions about T47.95
- Is T47.95 a billable ICD-10-CM code?
- No. T47.95 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T47.95 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50).