T38.5X4 — Poisoning by other estrogens and progestogens, undetermined
Is T38.5X4 billable?
No — T38.5X4 is a non-billable header code. T38.5X4 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 T38.5X4.
T38.5X4 at a glance
| Code | T38.5X4 |
|---|---|
| Description | Poisoning by other estrogens and progestogens, undetermined |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from T36-T50
The conditions below can never be reported together with T38.5X4 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 T38.5X4 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 T38.5X4. T38.5X4 describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T38.5X4 to fully describe the condition. T38.5X4 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 T38.5X4 to fully describe the condition. T38.5X4 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T38.5X4, but a patient may have both at the same time. When documentation supports it, T38.5X4 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T38.5X4, but a patient may have both at the same time. When documentation supports it, T38.5X4 and the excluded code may both be reported.
What codes fall under T38.5X4? (3)
How long has T38.5X4 existed?
T38.5X4 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 T38.5X family? (5)
- T38.5X1Poisoning by other estrogens and progestogens, accidental (unintentional)not billable
- T38.5X2Poisoning by other estrogens and progestogens, intentional self-harmnot billable
- T38.5X3Poisoning by other estrogens and progestogens, assaultnot billable
- T38.5X5Adverse effect of other estrogens and progestogensnot billable
- T38.5X6Underdosing of other estrogens and progestogensnot billable