T38.891 — Poisoning by other hormones and synthetic substitutes, accidental (unintentional)
T38.891 is a non-billable header ICD-10-CM code for poisoning by other hormones and synthetic substitutes, 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 other hormones and synthetic substitutes NOS
Risk adjustment
T38.891 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 T38.891
3 child codes. Green means billable.
- T38.891APoisoning by other hormones and synthetic substitutes, accidental (unintentional), initial encounter
- T38.891DPoisoning by other hormones and synthetic substitutes, accidental (unintentional), subsequent encounter
- T38.891SPoisoning by other hormones and synthetic substitutes, accidental (unintentional), sequela
Related codes at this level
Codes that share T38.89. If T38.891 is not quite right, the correct code is usually one of these.
- T38.892Poisoning by other hormones and synthetic substitutes, intentional self-harm
- T38.893Poisoning by other hormones and synthetic substitutes, assault
- T38.894Poisoning by other hormones and synthetic substitutes, undetermined
- T38.895Adverse effect of other hormones and synthetic substitutes
- T38.896Underdosing of other hormones and synthetic substitutes
Questions about T38.891
- Is T38.891 a billable ICD-10-CM code?
- No. T38.891 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T38.891 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).