2024 ICD-10-CM Diagnosis Code T38.0X3A

Poisoning by glucocorticoids and synthetic analogues, assault, initial encounter

ICD-10-CM Code:
T38.0X3A
ICD-10 Code for:
Poisoning by glucocort/synth analog, assault, init
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
      (T36-T50)
      • Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified
        (T38)

T38.0X3A is a billable diagnosis code used to specify a medical diagnosis of poisoning by glucocorticoids and synthetic analogues, assault, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

T38.0X3A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like poisoning by glucocorticoids and synthetic analogues assault. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: intent of injury, assaultEXT022N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
External cause codes: poisoning by drugEXT014N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Poisoning by drugs, initial encounterINJ022Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Dexamethasone

    an anti-inflammatory 9-fluoro-glucocorticoid.
  • Dexamethasone Isonicotinate

    an anti-inflammatory, anti-allergic glucocorticoid that can be administered orally, by inhalation, locally, and parenterally. it may cause water and salt retention.
  • Fluprednisolone

    a synthetic glucocorticoid with anti-inflammatory properties.
  • Glucocorticoids

    a group of corticosteroids that affect carbohydrate metabolism (gluconeogenesis, liver glycogen deposition, elevation of blood sugar), inhibit adrenocorticotropic hormone secretion, and possess pronounced anti-inflammatory activity. they also play a role in fat and protein metabolism, maintenance of arterial blood pressure, alteration of the connective tissue response to injury, reduction in the number of circulating lymphocytes, and functioning of the central nervous system.
  • Receptors, Glucocorticoid

    cytoplasmic proteins that specifically bind glucocorticoids and mediate their cellular effects. the glucocorticoid receptor-glucocorticoid complex acts in the nucleus to induce transcription of dna. glucocorticoids were named for their actions on blood glucose concentration, but they have equally important effects on protein and fat metabolism. cortisol is the most important example.
  • Paramethasone

    a glucocorticoid with the general properties of corticosteroids. it has been used by mouth in the treatment of all conditions in which corticosteroid therapy is indicated except adrenal-deficiency states for which its lack of sodium-retaining properties makes it less suitable than hydrocortisone with supplementary fludrocortisone. (from martindale, the extra pharmacopoeia, 30th ed, p737)
  • Prednisolone

    a glucocorticoid with the general properties of the corticosteroids. it is the drug of choice for all conditions in which routine systemic corticosteroid therapy is indicated, except adrenal deficiency states.
  • Prednisone

    a synthetic anti-inflammatory glucocorticoid derived from cortisone. it is biologically inert and converted to prednisolone in the liver.
  • Triamcinolone

    a glucocorticoid given, as the free alcohol or in esterified form, orally, intramuscularly, by local injection, by inhalation, or applied topically in the management of various disorders in which corticosteroids are indicated. (from martindale, the extra pharmacopoeia, 30th ed, p739)
  • Triamcinolone Acetonide

    an esterified form of triamcinolone. it is an anti-inflammatory glucocorticoid used topically in the treatment of various skin disorders. intralesional, intramuscular, and intra-articular injections are also administered under certain conditions.

Coding Guidelines

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 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

Convert T38.0X3A to ICD-9-CM

  • ICD-9-CM Code: 962.0 - Pois-corticosteroids
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
  • ICD-9-CM Code: E962.0 - Assault-pois w medic agt
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.

Table of Drugs and Chemicals

The parent code T38.0X3 of the current diagnosis 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
Adrenal (extract, cortex or medulla) (glucocorticoids) (hormones) (mineralocorticoids)T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Adrenal (extract, cortex or medulla) (glucocorticoids) (hormones) (mineralocorticoids)
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Adrenal (extract, cortex or medulla) (glucocorticoids) (hormones) (mineralocorticoids)
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Adrenal (extract, cortex or medulla) (glucocorticoids) (hormones) (mineralocorticoids)
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
AristocortT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Aristocort
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Aristocort
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Aristocort
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
CelestoneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Celestone
  »topical
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
ClocortoloneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
CloprednolT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
CortateT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cort-DomeT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cort-Dome
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cort-Dome
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cort-Dome
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
CortefT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortef
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortef
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortef
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
CorticosteroidT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Corticosteroid
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Corticosteroid
  »mineral
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Corticosteroid
  »ophthalmic
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Corticosteroid
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortisone (acetate)T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortisone (acetate)
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortisone (acetate)
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortisone (acetate)
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
CortivazolT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
CortogenT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortogen
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortogen
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
CortoneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortone
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortone
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
CortrilT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortril
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortril
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Cortril
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
DecadronT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Decadron
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Decadron
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Decadron
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
DeflazacortT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
DeltasoneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
DeltraT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
DexamethasoneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Dexamethasone
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Dexamethasone
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Dexamethasone
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
DOCAT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
FlorinefT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Florinef
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Florinef
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Florinef
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
FluohydrocortisoneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Fluohydrocortisone
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Fluohydrocortisone
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Fluohydrocortisone
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Fluorinated corticosteroidsT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
FluprednisoloneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Fluticasone propionateT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
GlucocorticoidsT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
GlucocorticosteroidT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
HydeltraT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Hydrocortisone (derivatives)T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Hydrocortisone (derivatives)
  »aceponate
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Hydrocortisone (derivatives)
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Hydrocortisone (derivatives)
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Hydrocortisone (derivatives)
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
HydrocortoneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Hydrocortone
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Hydrocortone
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Hydrocortone
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
KenacortT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
MeprednisoneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
ParamethasoneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Paramethasone
  »acetate
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
PercortenT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
PrednisoloneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Prednisolone
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Prednisolone
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Prednisolone
  »steaglate
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Prednisolone
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
PrednisoneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
PrednylideneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
SteroidT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Steroid
  »anabolic
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Steroid
  »androgenic
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Steroid
  »antineoplastic, hormone
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Steroid
  »antineoplastic, hormone
    »estrogen
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Steroid
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Steroid
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Steroid
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
TriamcinoloneT38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Triamcinolone
  »ENT agent
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Triamcinolone
  »hexacetonide
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Triamcinolone
  »ophthalmic preparation
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6
Triamcinolone
  »topical NEC
T38.0X1T38.0X2T38.0X3T38.0X4T38.0X5T38.0X6

Patient Education


Poisoning

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
  • Pesticides
  • 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.


[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.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.