T38.80 — Poisoning by, adverse effect of and underdosing of unspecified hormones and synthetic substitutes
Is T38.80 billable?
No — T38.80 is a non-billable header code. T38.80 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 18 billable codes beneath T38.80.
Billable codes under this header
- T38.801APoisoning by unspecified hormones and synthetic substitutes, accidental (unintentional), initial encounter
- T38.801DPoisoning by unspecified hormones and synthetic substitutes, accidental (unintentional), subsequent encounter
- T38.801SPoisoning by unspecified hormones and synthetic substitutes, accidental (unintentional), sequela
- T38.802APoisoning by unspecified hormones and synthetic substitutes, intentional self-harm, initial encounter
- T38.802DPoisoning by unspecified hormones and synthetic substitutes, intentional self-harm, subsequent encounter
- T38.802SPoisoning by unspecified hormones and synthetic substitutes, intentional self-harm, sequela
- T38.803APoisoning by unspecified hormones and synthetic substitutes, assault, initial encounter
- T38.803DPoisoning by unspecified hormones and synthetic substitutes, assault, subsequent encounter
- T38.803SPoisoning by unspecified hormones and synthetic substitutes, assault, sequela
- T38.804APoisoning by unspecified hormones and synthetic substitutes, undetermined, initial encounter
- T38.804DPoisoning by unspecified hormones and synthetic substitutes, undetermined, subsequent encounter
- T38.804SPoisoning by unspecified hormones and synthetic substitutes, undetermined, sequela
- T38.805AAdverse effect of unspecified hormones and synthetic substitutes, initial encounter
- T38.805DAdverse effect of unspecified hormones and synthetic substitutes, subsequent encounter
- T38.805SAdverse effect of unspecified hormones and synthetic substitutes, sequela
- T38.806AUnderdosing of unspecified hormones and synthetic substitutes, initial encounter
- T38.806DUnderdosing of unspecified hormones and synthetic substitutes, subsequent encounter
- T38.806SUnderdosing of unspecified hormones and synthetic substitutes, sequela
T38.80 at a glance
| Code | T38.80 |
|---|---|
| Description | Poisoning by, adverse effect of and underdosing of unspecified hormones and synthetic substitutes |
| 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 T38.80 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 T38.80 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 T38.80. T38.80 describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T38.80 to fully describe the condition. T38.80 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 T38.80 to fully describe the condition. T38.80 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T38.80, but a patient may have both at the same time. When documentation supports it, T38.80 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T38.80, but a patient may have both at the same time. When documentation supports it, T38.80 and the excluded code may both be reported.
What codes fall under T38.80? (6)
- T38.801Poisoning by unspecified hormones and synthetic substitutes, accidental (unintentional)not billable
- T38.802Poisoning by unspecified hormones and synthetic substitutes, intentional self-harmnot billable
- T38.803Poisoning by unspecified hormones and synthetic substitutes, assaultnot billable
- T38.804Poisoning by unspecified hormones and synthetic substitutes, undeterminednot billable
- T38.805Adverse effect of unspecified hormones and synthetic substitutesnot billable
- T38.806Underdosing of unspecified hormones and synthetic substitutesnot billable
How long has T38.80 existed?
T38.80 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.