T38.6X4D — Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, undetermined, subsequent encounter
Is T38.6X4D billable?
Yes, but T38.6X4D is an unspecified code. T38.6X4D is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, T38.6X4D 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 T38.6X4D.
T38.6X4D at a glance
| Code | T38.6X4D |
|---|---|
| Description | Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, undetermined, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in T38.6X4D?
In T38.6X4D, the 7th character D means subsequent encounter. The 7th character is required for T38.6X4D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T38.6X4D group to?
T38.6X4D sits in MDC 23 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.
- 949Aftercare with CC/MCCmedical
- 950Aftercare without CC/MCCmedical
Excludes1 — never code together — inherited from T36-T50
The conditions below can never be reported together with T38.6X4D 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 T38.6X4D 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 T38.6X4D. T38.6X4D describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T38.6X4D to fully describe the condition. T38.6X4D 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 T38.6X4D to fully describe the condition. T38.6X4D is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T38.6X4D, but a patient may have both at the same time. When documentation supports it, T38.6X4D and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T38.6X4D, but a patient may have both at the same time. When documentation supports it, T38.6X4D and the excluded code may both be reported.
How long has T38.6X4D existed?
T38.6X4D 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.