T38.995
T38.995 — Adverse effect of other hormone antagonists
Non-billable headerICD-10-CM
T38.995 is a non-billable header ICD-10-CM code for adverse effect of other hormone antagonists. 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
Risk adjustment
T38.995 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 T38.995
3 child codes. Green means billable.
Related codes at this level
Codes that share T38.99. If T38.995 is not quite right, the correct code is usually one of these.
- T38.991Poisoning by other hormone antagonists, accidental (unintentional)
- T38.992Poisoning by other hormone antagonists, intentional self-harm
- T38.993Poisoning by other hormone antagonists, assault
- T38.994Poisoning by other hormone antagonists, undetermined
- T38.996Underdosing of other hormone antagonists
Questions about T38.995
- Is T38.995 a billable ICD-10-CM code?
- No. T38.995 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T38.995 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).