T38.994S — Poisoning by other hormone antagonists, undetermined, sequela
Is T38.994S billable?
Yes — T38.994S is billable for FY2027. T38.994S is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T38.994S may be submitted for encounters from October 1, 2026 through September 30, 2027.
T38.994S at a glance
| Code | T38.994S |
|---|---|
| Description | Poisoning by other hormone antagonists, undetermined, 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 T38.994S?
In T38.994S, the 7th character S means sequela. The 7th character is required for T38.994S to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T38.994S group to?
T38.994S 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
Excludes1 — never code together — inherited from T36-T50
The conditions below can never be reported together with T38.994S 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 T38.994S 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 T38.994S. T38.994S describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside T38.994S to fully describe the condition. T38.994S 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 T38.994S to fully describe the condition. T38.994S is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T38.994S, but a patient may have both at the same time. When documentation supports it, T38.994S and the excluded code may both be reported.
Excludes2 — not included here — inherited from T36-T50
The conditions below are not part of T38.994S, but a patient may have both at the same time. When documentation supports it, T38.994S and the excluded code may both be reported.
How long has T38.994S existed?
T38.994S 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.