T38.3X5 — Adverse effect of insulin and oral hypoglycemic [antidiabetic] drugs
Is T38.3X5 billable?
No — T38.3X5 is a non-billable header code. T38.3X5 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 3 billable codes beneath T38.3X5.
Billable codes under this header
T38.3X5 at a glance
| Code | T38.3X5 |
|---|---|
| Description | Adverse effect of insulin and oral hypoglycemic [antidiabetic] drugs |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is T38.3X5 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under T38.3, the nearest indexed parent of T38.3X5. Use them to find the family, then select the specific code.
- Reaction › insulin
Excludes1 — never code together — inherited from T36-T50
The conditions below can never be reported together with T38.3X5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- toxic reaction to local anesthesia in pregnancy (O29.3-)
Excludes1 — never code together — inherited from T38
The conditions below can never be reported together with T38.3X5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Code first — inherited from T36-T50
The underlying condition below must be sequenced before T38.3X5. T38.3X5 describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T38.3X5 to fully describe the condition. T38.3X5 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from T36-T50
Report an additional code alongside T38.3X5 to fully describe the condition. T38.3X5 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T38.3X5, but a patient may have both at the same time. When documentation supports it, T38.3X5 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T38.3X5, but a patient may have both at the same time. When documentation supports it, T38.3X5 and the excluded code may both be reported.
What codes fall under T38.3X5? (3)
How long has T38.3X5 existed?
T38.3X5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the T38.3X family? (5)
- T38.3X1Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, accidental (unintentional)not billable
- T38.3X2Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, intentional self-harmnot billable
- T38.3X3Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, assaultnot billable
- T38.3X4Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, undeterminednot billable
- T38.3X6Underdosing of insulin and oral hypoglycemic [antidiabetic] drugsnot billable