2020 ICD-10-CM Diagnosis Code T38.5X6D

Underdosing of other estrogens and progestogens, subsequent encounter

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • T38.5X6D is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Underdosing of other estrogens and progestogens, subs encntr
  • The 2020 edition of ICD-10-CM T38.5X6D became effective on October 1, 2019.
  • This is the American ICD-10-CM version of T38.5X6D - other international versions of ICD-10 T38.5X6D may differ.
The following code(s) above T38.5X6D contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to T38.5X6D:
  • S00-T88
    2020 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • T36-T50
    2020 ICD-10-CM Range T36-T50

    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

    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)
    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
    Note
    • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
    Type 1 Excludes
    • toxic reaction to local anesthesia in pregnancy (O29.3-)
    Type 2 Excludes
    • abuse and dependence of psychoactive substances (F10-F19)
    • abuse of non-dependence-producing substances (F55.-)
    • drug reaction and poisoning affecting newborn (P00-P96)
    • pathological drug intoxication (inebriation) (F10-F19)
    Use Additional
    • 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-)
    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
  • T38
    ICD-10-CM Diagnosis Code T38

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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • mineralocorticoids and their antagonists (T50.0-)
    • oxytocic hormones (T48.0-)
    • parathyroid hormones and derivatives (T50.9-)
    Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified
  • T38.5
    ICD-10-CM Diagnosis Code T38.5

    Poisoning by, adverse effect of and underdosing of other estrogens and progestogens

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Poisoning by, adverse effect of and underdosing of estrogens and progestogens mixtures and substitutes
    Poisoning by, adverse effect of and underdosing of other estrogens and progestogens
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • T38.5X6D is considered exempt from POA reporting.
ICD-10-CM T38.5X6D is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 949 Aftercare with cc/mcc
  • 950 Aftercare without cc/mcc

Convert T38.5X6D to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
ICD-10-CM Codes Adjacent To T38.5X6D
T38.5X4 Poisoning by other estrogens and progestogens, undetermined
T38.5X4A …… initial encounter
T38.5X4D …… subsequent encounter
T38.5X4S …… sequela
T38.5X5 Adverse effect of other estrogens and progestogens
T38.5X5A …… initial encounter
T38.5X5D …… subsequent encounter
T38.5X5S …… sequela
T38.5X6 Underdosing of other estrogens and progestogens
T38.5X6A …… initial encounter
T38.5X6D …… subsequent encounter
T38.5X6S …… sequela
T38.6 Poisoning by, adverse effect of and underdosing of antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified
T38.6X Poisoning by, adverse effect of and underdosing of antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified
T38.6X1 Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, accidental (unintentional)
T38.6X1A …… initial encounter
T38.6X1D …… subsequent encounter
T38.6X1S …… sequela
T38.6X2 Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, intentional self-harm
T38.6X2A …… initial encounter
T38.6X2D …… subsequent encounter

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.