Not Valid for Submission
T38.902 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of poisoning by unspecified hormone antagonists, intentional self-harm. The code is not specific and is NOT valid for the year 2021 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 T38.902 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.
When coding a poisoning or reaction to the improper use of a medication (e.g., overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories T36-T50. The poisoning codes have an associated intent as their 5th or 6th character (accidental, intentional self-harm, assault and undetermined. If the intent of the poisoning is unknown or unspecified, code the intent as accidental intent. The undetermined intent is only for use if the documentation in the record specifies that the intent cannot be determined. Use additional code(s) for all manifestations of poisonings.
The appropriate 7th character is to be added to each code from block Hormones and their synthetic substitutes and antag, NEC (T38). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Specific Coding for Poisoning by unsp hormone antagonists, intentional self-harm
Non-specific codes like T38.902 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for poisoning by unsp hormone antagonists, intentional self-harm:
Table of Drugs and Chemicals
The code T38.902 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. According to ICD-10 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.
|Gonadal tissue extract||T38.901||T38.902||T38.903||T38.904||T38.905||T38.906|
|Gonadal tissue extract|
|Gonadal tissue extract|
Information for Patients
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
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]
A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include
- Prescription or over-the-counter medicines taken in doses that are too high
- Overdoses of illegal drugs
- Carbon monoxide from gas appliances
- Household products, such as laundry powder or furniture polish
- Indoor or outdoor plants
- Metals such as lead and mercury
The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.
- Poisoning (Medical Encyclopedia)
- Poisoning first aid (Medical Encyclopedia)
- Toxicology screen (Medical Encyclopedia)
[Learn More in MedlinePlus]
What is self-harm?
Self-harm, or self-injury, is when a person hurts his or her own body on purpose. The injuries may be minor, but sometimes they can be severe. They may leave permanent scars or cause serious health problems. Some examples are
- Cutting yourself (such as using a razor blade, knife, or other sharp object to cut your skin)
- Punching yourself or punching things (like a wall)
- Burning yourself with cigarettes, matches, or candles
- Pulling out your hair
- Poking objects through body openings
- Breaking your bones or bruising yourself
Self-harm is not a mental disorder. It is a behavior - an unhealthy way to cope with strong feelings. However, some of the people who harm themselves do have a mental disorder.
People who harm themselves are usually not trying to kill themselves. But they are at higher risk of attempting suicide if they do not get help.
Why do people harm themselves?
There are different reasons why people harm themselves. Often, they have trouble coping and dealing with their feelings. They harm themselves to try to
- Make themselves feel something, when they feel empty or numb inside
- Block upsetting memories
- Show that they need help
- Release strong feelings that overwhelm them, such as anger, loneliness, or hopelessness
- Punish themselves
- Feel a sense of control
Who is at risk for self-harm?
There are people of all ages who harm themselves, but it usually starts in the teen or early adult years. Self-harm is more common in people who
- Were abused or went through a trauma as children
- Have mental disorders, such as
- Eating disorders
- Post-traumatic stress disorder
- Certain personality disorders
- Abuse drugs or alcohol
- Have friends who self-harm
- Have low self-esteem
What are the signs of self-harm?
Signs that someone may be hurting themselves include
- Having frequent cuts, bruises, or scars
- Wearing long sleeves or pants even in hot weather
- Making excuses about injuries
- Having sharp objects around for no clear reason
How can I help someone who self-harms?
If someone you know is self-harming, it is important not to be judgmental. Let that person know that you want to help. If the person is a child or teenager, ask him or her to talk to a trusted adult. If he or she won't do that, talk to a trusted adult yourself. If the person who is self-harming is an adult, suggest mental health counseling.
What the treatments are for self-harm?
There are no medicines to treat self-harming behaviors. But there are medicines to treat any mental disorders that the person may have, such as anxiety and depression. Treating the mental disorder may weaken the urge to self-harm.
Mental health counseling or therapy can also help by teaching the person
- Problem-solving skills
- New ways to cope with strong emotions
- Better relationship skills
- Ways to strengthen self-esteem
If the problem is severe, the person may need more intensive treatment in a psychiatric hospital or a mental health day program.
- Trichotillomania (Medical Encyclopedia)
[Learn More in MedlinePlus]