T38
T38: Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified
Non-billable headerICD-10-CM
T38 is a non-billable header ICD-10-CM code for poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified. 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 T38
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Other codes that can never be billed with T38
Their own Excludes1 notes name this code, so the conflict is not listed above.
- T48.0Poisoning by, adverse effect of and underdosing of oxytocic drugs
- T39.4Poisoning by, adverse effect of and underdosing of antirheumatics, not elsewhere classified
- T45.1Poisoning by, adverse effect of and underdosing of antineoplastic and immunosuppressive drugs
- T48.6Poisoning by, adverse effect of and underdosing of antiasthmatics, not elsewhere classified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead T38
10 child codes. Green means billable.
- T38.0Poisoning by, adverse effect of and underdosing of glucocorticoids and synthetic analogues
- T38.1Poisoning by, adverse effect of and underdosing of thyroid hormones and substitutes
- T38.2Poisoning by, adverse effect of and underdosing of antithyroid drugs
- T38.3Poisoning by, adverse effect of and underdosing of insulin and oral hypoglycemic [antidiabetic] drugs
- T38.4Poisoning by, adverse effect of and underdosing of oral contraceptives
- T38.5Poisoning by, adverse effect of and underdosing of other estrogens and progestogens
- T38.6Poisoning by, adverse effect of and underdosing of antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified
- T38.7Poisoning by, adverse effect of and underdosing of androgens and anabolic congeners
- T38.8Poisoning by, adverse effect of and underdosing of other and unspecified hormones and synthetic substitutes
- T38.9Poisoning by, adverse effect of and underdosing of other and unspecified hormone antagonists