2021 ICD-10-CM Code T38.891D
Poisoning by other hormones and synthetic substitutes, accidental (unintentional), subsequent encounter
Valid for Submission
T38.891D is a billable diagnosis code used to specify a medical diagnosis of poisoning by other hormones and synthetic substitutes, accidental (unintentional), subsequent encounter. The code T38.891D is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code T38.891D might also be used to specify conditions or terms like accidental gonadotrophin poisoning, accidental vasopressin poisoning, antidiuretic hormone overdose, poisoning by gonadotropin, poisoning by pituitary hormone , poisoning by posterior pituitary hormone, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
T38.891D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like poisoning by other hormones and synthetic substitutes accidental (unintentional). According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
ICD-10: | T38.891D |
Short Description: | Poisoning by oth hormones and synthetic sub, acc, subs |
Long Description: | Poisoning by other hormones and synthetic substitutes, accidental (unintentional), subsequent encounter |
Code Classification
Replaced Code
This code was replaced in the 2021 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, 2020. This code was replaced for the FY 2021 (October 1, 2020 - September 30, 2021).
- K59.03 - Drug induced constipation
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Accidental gonadotrophin poisoning
- Accidental vasopressin poisoning
- Antidiuretic hormone overdose
- Poisoning by gonadotropin
- Poisoning by pituitary hormone
- Poisoning by posterior pituitary hormone
- Poisoning by synthetic ovarian hormone substitute
- Poisoning by vasopressin
- Sex hormone overdose
- Sex hormone poisoning
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code T38.891D is grouped in the following groups for version MS-DRG V38.0 What are 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). applicable from 10/01/2020 through 09/30/2021.
Present on Admission (POA)
T38.891D is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .
CMS POA Indicator Options and Definitions
POA Indicator Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert T38.891D to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code T38.891D its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- V58.89 - Other specfied aftercare (Approximate Flag)
Information for Patients
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.
- Could you have low testosterone? (Medical Encyclopedia)
- Growth hormone test (Medical Encyclopedia)
- Luteinizing hormone (LH) blood test (Medical Encyclopedia)
- Prolactin blood test (Medical Encyclopedia)
- Serum progesterone (Medical Encyclopedia)
- Testosterone (Medical Encyclopedia)
[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
- 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)
[Learn More in MedlinePlus]
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)