T38.6X1S — Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, accidental (unintentional), sequela
Is T38.6X1S billable?
Yes, but T38.6X1S is an unspecified code. T38.6X1S is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, T38.6X1S is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting T38.6X1S.
T38.6X1S at a glance
| Code | T38.6X1S |
|---|---|
| Description | Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, accidental (unintentional), sequela |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "S" | sequela |
What does the 7th character "S" mean in T38.6X1S?
In T38.6X1S, the 7th character S means sequela. The 7th character is required for T38.6X1S to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T38.6X1S group to?
T38.6X1S sits in MDC 21 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 922Other Injury, Poisoning and Toxic Effect Diagnoses with MCCmedical
- 923Other Injury, Poisoning and Toxic Effect Diagnoses without MCCmedical
Inclusion terms
Alternative wording in documentation that is classified to T38.6X1S.
- Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified NOS
Excludes1 — never code together — inherited from T36-T50
The conditions below can never be reported together with T38.6X1S 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 T38.6X1S 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 T38.6X1S. T38.6X1S describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T38.6X1S to fully describe the condition. T38.6X1S 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 T38.6X1S to fully describe the condition. T38.6X1S is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T38.6X1S, but a patient may have both at the same time. When documentation supports it, T38.6X1S and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T38.6X1S, but a patient may have both at the same time. When documentation supports it, T38.6X1S and the excluded code may both be reported.
How long has T38.6X1S existed?
T38.6X1S 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.