T38

Non-Billable
ChapterS00–T88
Rankcategory
Official Description

Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88).

CH19 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
Use Additional Code
  • code to identify any retained foreign body, if applicable (Z18.-)

T36-T50 Parent Instructions

Includes
  • adverse effect of correct substance properly administered
  • poisoning by overdose of substance
  • poisoning by wrong substance given or taken in error
  • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
Excludes1(Not coded here. Use a different code.)
  • toxic reaction to local anesthesia in pregnancy (O29.3-)
Excludes2(Not included here. Code separately if applicable.)
  • abuse and dependence of psychoactive substances (F10-F19)
  • abuse of non-dependence-producing substances (F55.-)
  • immunodeficiency due to drugs (D84.821)
  • drug reaction and poisoning affecting newborn (P00-P96)
  • pathological drug intoxication (inebriation) (F10-F19)
Code First
  • , for adverse effects, the nature of the adverse effect, such as:
  • adverse effect NOS (T88.7)
  • aspirin gastritis (K29.-)
  • blood disorders (D56-D76)
  • contact dermatitis (L23-L25)
  • dermatitis due to substances taken internally (L27.-)
  • nephropathy (N14.0-N14.2)
Use Additional Code
  • code(s) to specify:
  • manifestations of poisoning
  • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
  • underdosing of medication regimen (Z91.12-, Z91.13-)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • mineralocorticoids and their antagonists (T50.0-)
  • oxytocic hormones (T48.0-)
  • parathyroid hormones and derivatives (T50.9-)

Clinical Hierarchy

BillableHas subcodes
CH19Injury, poisoning and certain other consequences of external causes (S00-T88)
T36-T50Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50)
T38Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classifiedNot billable
T38.0Poisoning by, adverse effect of and underdosing of glucocorticoids and synthetic analoguesSubcodes
T38.1Poisoning by, adverse effect of and underdosing of thyroid hormones and substitutesSubcodes
T38.2Poisoning by, adverse effect of and underdosing of antithyroid drugsSubcodes
T38.3Poisoning by, adverse effect of and underdosing of insulin and oral hypoglycemic [antidiabetic] drugsSubcodes
T38.4Poisoning by, adverse effect of and underdosing of oral contraceptivesSubcodes
T38.5Poisoning by, adverse effect of and underdosing of other estrogens and progestogensSubcodes
T38.6Poisoning by, adverse effect of and underdosing of antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classifiedSubcodes
T38.7Poisoning by, adverse effect of and underdosing of androgens and anabolic congenersSubcodes
T38.8Poisoning by, adverse effect of and underdosing of other and unspecified hormones and synthetic substitutesSubcodes
T38.9Poisoning by, adverse effect of and underdosing of other and unspecified hormone antagonistsSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to T38:

blockT36-T50
Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50)
View context instructions
chapterCH19
Injury, poisoning and certain other consequences of external causes (S00-T88)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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