T38.801 — Poisoning by unspecified hormones and synthetic substitutes, accidental (unintentional)
Is T38.801 billable?
No — T38.801 is a non-billable header code. T38.801 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 T38.801.
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
T38.801 at a glance
| Code | T38.801 |
|---|---|
| Description | Poisoning by unspecified hormones and synthetic substitutes, accidental (unintentional) |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Inclusion terms
Alternative wording in documentation that is classified to T38.801.
- Poisoning by unspecified hormones and synthetic substitutes NOS
Excludes1 — never code together — inherited from T36-T50
The conditions below can never be reported together with T38.801 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 T38.801 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 T38.801. T38.801 describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T38.801 to fully describe the condition. T38.801 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 T38.801 to fully describe the condition. T38.801 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T38.801, but a patient may have both at the same time. When documentation supports it, T38.801 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T38.801, but a patient may have both at the same time. When documentation supports it, T38.801 and the excluded code may both be reported.
What codes fall under T38.801? (3)
- 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
How long has T38.801 existed?
T38.801 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 T38.80 family? (5)
- 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