2024 ICD-10-CM Diagnosis Code T38.806
Underdosing of unspecified hormones and synthetic substitutes
- ICD-10-CM Code:
- T38.806
- ICD-10 Code for:
- Underdosing of unsp hormones and synthetic substitutes
- Is Billable?
- Not Valid for Submission
- Code Navigator:
T38.806 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of underdosing of unspecified hormones and synthetic substitutes. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Unspecified diagnosis codes like T38.806 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Specific Coding Applicable to Underdosing of unsp hormones and synthetic substitutes
Non-specific codes like T38.806 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for underdosing of unsp hormones and synthetic substitutes:
Coding Guidelines
Underdosing refers to taking less of a medication than is prescribed by a provider or a manufacturer's instruction. Codes for underdosing should never be assigned as principal or first-listed codes. If a patient has a relapse or exacerbation of the medical condition for which the drug is prescribed because of the reduction in dose, then the medical condition itself should be coded.
The appropriate 7th character is to be added to each code from block Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified (T38). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Table of Drugs and Chemicals
The code is referenced in the Table of Drugs and Chemicals, this table contains a classification of drugs, industrial solvents, corrosive gases, noxious plants, pesticides, and other toxic agents.
According to ICD-10-CM coding guidelines it is advised to do not code directly from the Table of Drugs and Chemicals, instead always refer back to the Tabular List when doing the initial coding. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. It is important to use as many codes as necessary to specify all reported drugs, medicinal or chemical substances. If the same diagnosis code describes the causative agent for more than one adverse reaction, poisoning, toxic effect or underdosing, utilize the code only once.
Substance | Poisoning Accidental (unintentional) |
Poisoning Accidental (self-harm) |
Poisoning Assault |
Poisoning Undetermined |
Adverse effect |
Underdosing |
---|---|---|---|---|---|---|
Hormone | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »adrenal cortical steroids | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »androgenic | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »anterior pituitary NEC | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »antidiabetic agents | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »antidiuretic | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »cancer therapy | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »follicle stimulating | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »gonadotropic | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »gonadotropic »pituitary | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »growth | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »luteinizing | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »ovarian | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »oxytocic | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »parathyroid (derivatives) | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »pituitary (posterior) NEC | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »pituitary (posterior) NEC »anterior | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »specified, NEC | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Hormone »thyroid | T38.801 | T38.802 | T38.803 | T38.804 | T38.805 | T38.806 |
Patient Education
Hormones
Hormones are your body's chemical messengers. They travel in your bloodstream to tissues or organs. They work slowly, over time, and affect many different processes, including:
- Growth and development
- Metabolism - how your body gets energy from the foods you eat
- Sexual function
- Reproduction
- Mood
Endocrine glands, which are special groups of cells, make hormones. The major endocrine glands are the pituitary, pineal, thymus, thyroid, adrenal glands, and pancreas. In addition, men produce hormones in their testes and women produce them in their ovaries.
Hormones are powerful. It takes only a tiny amount to cause big changes in cells or even your whole body. That is why too much or too little of a certain hormone can be serious. Laboratory tests can measure the hormone levels in your blood, urine, or saliva. Your health care provider may perform these tests if you have symptoms of a hormone disorder. Home pregnancy tests are similar - they test for pregnancy hormones in your urine.
[Learn More in MedlinePlus]
Medication Errors
Medicines treat infectious diseases, prevent problems from chronic diseases, and ease pain. But medicines can also cause harmful reactions if not used correctly. Errors can happen in the hospital, at the health care provider's office, at the pharmacy, or at home. You can help prevent errors by:
- Knowing your medicines. When you get a prescription, ask the name of the medicine and check to make sure that the pharmacy gave you the right medicine. Make sure that you understand how often you should take the medicine and how long you should take it.
- Keeping a list of medicines.
- Write down all of the medicines that you are taking, including the names of your medicines, how much you take, and when you take them. Make sure to include any over-the-counter medicines, vitamins, supplements, and herbs that you take.
- List the medicines that you are allergic to or that have caused you problems in the past.
- Take this list with you every time you see a health care provider.
- Reading medicine labels and following the directions. Don't just rely on your memory - read the medication label every time. Be especially careful when giving medicines to children.
- Asking questions. If you don't know the answers to these questions, ask your health care provider or pharmacist:
- Why am I taking this medicine?
- What are the common side effects?
- What should I do if I have side effects?
- When should I stop this medicine?
- Can I take this medicine with the other medicines and supplements on my list?
- Do I need to avoid certain foods or alcohol while taking this medicine?
Food and Drug Administration
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.