T47.95 — Adverse effect of unspecified agents primarily affecting the gastrointestinal system
Is T47.95 billable?
No — T47.95 is a non-billable header code. T47.95 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 3 billable codes beneath T47.95.
Billable codes under this header
- 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
T47.95 at a glance
| Code | T47.95 |
|---|---|
| Description | Adverse effect of unspecified agents primarily affecting the gastrointestinal system |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from T36-T50
The conditions below can never be reported together with T47.95 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- toxic reaction to local anesthesia in pregnancy (O29.3-)
Code first — inherited from T36-T50
The underlying condition below must be sequenced before T47.95. T47.95 describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T47.95 to fully describe the condition. T47.95 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from T36-T50
Report an additional code alongside T47.95 to fully describe the condition. T47.95 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T47.95, but a patient may have both at the same time. When documentation supports it, T47.95 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T47.95, but a patient may have both at the same time. When documentation supports it, T47.95 and the excluded code may both be reported.
What codes fall under T47.95? (3)
- 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
How long has T47.95 existed?
T47.95 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the T47.9 family? (5)
- T47.91Poisoning by unspecified agents primarily affecting the gastrointestinal system, accidental (unintentional)not billable
- T47.92Poisoning by unspecified agents primarily affecting the gastrointestinal system, intentional self-harmnot billable
- T47.93Poisoning by unspecified agents primarily affecting the gastrointestinal system, assaultnot billable
- T47.94Poisoning by unspecified agents primarily affecting the gastrointestinal system, undeterminednot billable
- T47.96Underdosing of unspecified agents primarily affecting the gastrointestinal systemnot billable