ICD-10 Code T38.4X5

Adverse effect of oral contraceptives

Version 2019 Replaced Code Non-Billable Code Adverse Effect
ICD-10:T38.4X5
Short Description:Adverse effect of oral contraceptives
Long Description:Adverse effect of oral contraceptives

Not Valid for Submission

ICD-10 T38.4X5 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of adverse effect of oral contraceptives. 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:

  • T38.4X5A - Adverse effect of oral contraceptives, initial encounter
  • T38.4X5D - Adverse effect of oral contraceptives, subsequent encounter
  • T38.4X5S - Adverse effect of oral contraceptives, 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 T38.4X5 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 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:

  • Combined oral contraceptive adverse reaction
  • Drug intolerance
  • Ethynodiol diacetate adverse reaction
  • Gingival disease caused by oral contraceptive use
  • Headache caused by oral contraceptive pill
  • Hypertension induced by oral contraceptive pill
  • Hypertension secondary to drug
  • Levonorgestrel adverse reaction
  • Migraine due to estrogen contraceptive
  • Norethisterone adverse reaction
  • Oral contraceptive intolerance
  • Postpill amenorrhea

Table of Drugs and Chemicals

The code T38.4X5 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]

Drug Reactions

Also called: Side effects

Most of the time, medicines make our lives better. They reduce aches and pains, fight infections, and control problems such as high blood pressure or diabetes. But medicines can also cause unwanted reactions.

One problem is interactions, which may occur between

  • Two drugs, such as aspirin and blood thinners
  • Drugs and food, such as statins and grapefruit
  • Drugs and supplements, such as ginkgo and blood thinners
  • Drugs and diseases, such as aspirin and peptic ulcers

Interactions can change the actions of one or both drugs. The drugs might not work, or you could get side effects.

Side effects are unwanted effects caused by the drugs. Most are mild, such as a stomach aches or drowsiness, and go away after you stop taking the drug. Others can be more serious.

Drug allergies are another type of reaction. They can be mild or life-threatening. Skin reactions, such as hives and rashes, are the most common type. Anaphylaxis, a serious allergic reaction, is more rare.

When you start a new prescription or over-the-counter medication, make sure you understand how to take it correctly. Know which other medications and foods you need to avoid. Ask your health care provider or pharmacist if you have questions.

  • Angioedema (Medical Encyclopedia)
  • Drug allergies (Medical Encyclopedia)
  • Drug-induced diarrhea (Medical Encyclopedia)
  • Drug-induced tremor (Medical Encyclopedia)
  • Taking multiple medicines safely (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.