ICD-10 Code T38.4X1

Poisoning by oral contraceptives, accidental (unintentional)

Version 2019 Replaced Code Non-Billable Code Poisoning Accidental
ICD-10:T38.4X1
Short Description:Poisoning by oral contraceptives, accidental (unintentional)
Long Description:Poisoning by oral contraceptives, accidental (unintentional)

Not Valid for Submission

ICD-10 T38.4X1 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of poisoning by oral contraceptives, accidental (unintentional). The code is NOT valid for the year 2019 for the submission of HIPAA-covered transactions.

Consider the following ICD-10 codes with a higher level of specificity:

  • T38.4X1A - Poisoning by oral contraceptives, accidental (unintentional), initial encounter
  • T38.4X1D - Poisoning by oral contraceptives, accidental (unintentional), subsequent encounter
  • T38.4X1S - Poisoning by oral contraceptives, accidental (unintentional), sequela

Deleted Code

This code was deleted in the 2019 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2018. This code was replaced for the FY 2019 (October 1, 2018 - September 30, 2019).

  • K59.03 - Drug induced constipation

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances (T36-T50)
      • Hormones and their synthetic substitutes and antag, NEC (T38)

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code T38.4X1 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 917 - POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
  • 918 - POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
  • 922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
  • 923 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
  • 949 - AFTERCARE WITH CC/MCC
  • 950 - AFTERCARE WITHOUT CC/MCC

Synonyms

The following clinical terms are approximate synonyms:

  • Accidental oral contraceptive overdose
  • Accidental oral contraceptive poisoning
  • Oral contraceptive overdose
  • Poisoning by oral contraceptive

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references for the code T38.4X1 are found in the tabular index:

  • Inclusion Terms:
    • Poisoning by oral contraceptives NOS

Table of Drugs and Chemicals

The code T38.4X1 is included 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. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. Use as many codes as necessary to describe all reported drugs, medicinal or chemical substances.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
self-harm
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
Antifertility pillT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
Contraceptive (oral)T38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
Contraceptive (oral)
  »vaginal
T38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
DemulenT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
EnovidT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
EthynodiolT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
Ethynodiol
  »with mestranol diacetate
T38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
EtinodiolT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
EtynodiolT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
LevonorgestrelT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
Levonorgestrel
  »with ethinylestradiol
T38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
LynestrenolT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
NorethindroneT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
Norethisterone (acetate) (enantate)T38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
Norethisterone (acetate) (enantate)
  »with ethinylestradiol
T38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
NorgestrelT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
NorgestrienoneT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
NorlestrinT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
NorlutinT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
OraconT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
Oral contraceptivesT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
Ortho-NovumT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
OvralT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
OvulenT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6
QuingestanolT38.4X1T38.4X2T38.4X3T38.4X4T38.4X5T38.4X6

Information for Patients


Birth Control

Also called: Contraception

Birth control, also known as contraception, is designed to prevent pregnancy. Birth control methods may work in a number of different ways:

  • Preventing sperm from getting to the eggs. Types include condoms, diaphragms, cervical caps, and contraceptive sponges.
  • Keeping the woman's ovaries from releasing eggs that could be fertilized. Types include birth control pills, patches, shots, vaginal rings, and emergency contraceptive pills.
  • IUDs, devices which are implanted into the uterus. They can be kept in place for several years.
  • Sterilization, which permanently prevents a woman from getting pregnant or a man from being able to get a woman pregnant

Your choice of birth control should depend on several factors. These include your health, frequency of sexual activity, number of sexual partners and desire to have children in the future. Your health care provider can help you select the best form of birth control for you.

NIH: National Institute of Child Health and Human Development

  • Birth control - slow release methods (Medical Encyclopedia)
  • Birth control and family planning (Medical Encyclopedia)
  • Birth control pills - combination (Medical Encyclopedia)
  • Birth control pills - overview (Medical Encyclopedia)
  • Birth control pills - progestin only (Medical Encyclopedia)
  • Condoms - male (Medical Encyclopedia)
  • Deciding about an IUD (Medical Encyclopedia)
  • Female condoms (Medical Encyclopedia)
  • Intrauterine devices (IUD) (Medical Encyclopedia)

[Read More]

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

  • 6 Tips to Avoid Medication Mistakes (Food and Drug Administration)
  • How and when to get rid of unused medicines (Medical Encyclopedia)
  • Keeping your medications organized (Medical Encyclopedia)
  • Medication safety during your hospital stay (Medical Encyclopedia)
  • Medication safety: Filling your prescription (Medical Encyclopedia)
  • Storing your medicines (Medical Encyclopedia)
  • Taking medicine at home - create a routine (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.