Is T38.811 a billable ICD-10-CM code?

No. T38.811 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does T38.811 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).

T38.811

T38.811 — Poisoning by anterior pituitary [adenohypophyseal] hormones, accidental (unintentional)

Non-billable headerICD-10-CM

T38.811 is a non-billable header ICD-10-CM code for poisoning by anterior pituitary [adenohypophyseal] hormones, accidental (unintentional). 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

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Poisoning by anterior pituitary [adenohypophyseal] hormones NOS

Risk adjustment

T38.811 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 T38.811

3 child codes. Green means billable.

Related codes at this level

Codes that share T38.81. If T38.811 is not quite right, the correct code is usually one of these.

Questions about T38.811

Is T38.811 a billable ICD-10-CM code?: No. T38.811 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does T38.811 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).