The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
Use additional code(s) to specify:
manifestations of poisoning
underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
underdosing of medication regimen (Z91.12-, Z91.13-)
Code first , for adverse effects, the nature of the adverse effect, such as:
adverse effect NOS (T88.7)
aspirin gastritis (K29.-)
blood disorders (D56-D76)
contact dermatitis (L23-L25)
dermatitis due to substances taken internally (L27.-)
nephropathy (N14.0-N14.2)
Includes:
- adverse effect of correct substance properly administered
- poisoning by overdose of substance
- poisoning by wrong substance given or taken in error
- underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
Excludes1
- toxic reaction to local anesthesia in pregnancy (O29.3-)
Excludes2
- abuse and dependence of psychoactive substances (F10-F19)
- abuse of non-dependence-producing substances (F55.-)
- immunodeficiency due to drugs (D84.821)
- drug reaction and poisoning affecting newborn (P00-P96)
- pathological drug intoxication (inebriation) (F10-F19)
T38 Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified
Excludes1
- mineralocorticoids and their antagonists (T50.0-)
- oxytocic hormones (T48.0-)
- parathyroid hormones and derivatives (T50.9-)
The appropriate 7th character is to be added to each code from category T38
A
- initial encounterD
- subsequent encounterS
- sequela
-
T38.0 Poisoning by, adverse effect of and underdosing of glucocorticoids and synthetic analogues
T38.0X Poisoning by, adverse effect of and underdosing of glucocorticoids and synthetic analogues
- T38.0X1 Poisoning by glucocorticoids and synthetic analogues, accidental (unintentional)
Inclusion term(s):
- Poisoning by glucocorticoids and synthetic analogues NOS
- T38.0X2 Poisoning by glucocorticoids and synthetic analogues, intentional self-harm
- T38.0X3 Poisoning by glucocorticoids and synthetic analogues, assault
- T38.0X4 Poisoning by glucocorticoids and synthetic analogues, undetermined
- T38.0X5 Adverse effect of glucocorticoids and synthetic analogues
- T38.0X6 Underdosing of glucocorticoids and synthetic analogues
-
T38.1 Poisoning by, adverse effect of and underdosing of thyroid hormones and substitutes
T38.1X Poisoning by, adverse effect of and underdosing of thyroid hormones and substitutes
- T38.1X1 Poisoning by thyroid hormones and substitutes, accidental (unintentional)
Inclusion term(s):
- Poisoning by thyroid hormones and substitutes NOS
- T38.1X2 Poisoning by thyroid hormones and substitutes, intentional self-harm
- T38.1X3 Poisoning by thyroid hormones and substitutes, assault
- T38.1X4 Poisoning by thyroid hormones and substitutes, undetermined
- T38.1X5 Adverse effect of thyroid hormones and substitutes
- T38.1X6 Underdosing of thyroid hormones and substitutes
-
T38.2 Poisoning by, adverse effect of and underdosing of antithyroid drugs
T38.2X Poisoning by, adverse effect of and underdosing of antithyroid drugs
- T38.2X1 Poisoning by antithyroid drugs, accidental (unintentional)
Inclusion term(s):
- Poisoning by antithyroid drugs NOS
- T38.2X2 Poisoning by antithyroid drugs, intentional self-harm
- T38.2X3 Poisoning by antithyroid drugs, assault
- T38.2X4 Poisoning by antithyroid drugs, undetermined
- T38.2X5 Adverse effect of antithyroid drugs
- T38.2X6 Underdosing of antithyroid drugs
-
T38.3 Poisoning by, adverse effect of and underdosing of insulin and oral hypoglycemic [antidiabetic] drugs
T38.3X Poisoning by, adverse effect of and underdosing of insulin and oral hypoglycemic [antidiabetic] drugs
- T38.3X1 Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, accidental (unintentional)
Inclusion term(s):
- Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs NOS
- T38.3X2 Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, intentional self-harm
- T38.3X3 Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, assault
- T38.3X4 Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, undetermined
- T38.3X5 Adverse effect of insulin and oral hypoglycemic [antidiabetic] drugs
- T38.3X6 Underdosing of insulin and oral hypoglycemic [antidiabetic] drugs
-
T38.4 Poisoning by, adverse effect of and underdosing of oral contraceptives
Inclusion term(s):
- Poisoning by, adverse effect of and underdosing of multiple- and single-ingredient oral contraceptive preparations
T38.4X Poisoning by, adverse effect of and underdosing of oral contraceptives
- T38.4X1 Poisoning by oral contraceptives, accidental (unintentional)
Inclusion term(s):
- Poisoning by oral contraceptives NOS
- T38.4X2 Poisoning by oral contraceptives, intentional self-harm
- T38.4X3 Poisoning by oral contraceptives, assault
- T38.4X4 Poisoning by oral contraceptives, undetermined
- T38.4X5 Adverse effect of oral contraceptives
- T38.4X6 Underdosing of oral contraceptives
-
T38.5 Poisoning by, adverse effect of and underdosing of other estrogens and progestogens
Inclusion term(s):
- Poisoning by, adverse effect of and underdosing of estrogens and progestogens mixtures and substitutes
T38.5X Poisoning by, adverse effect of and underdosing of other estrogens and progestogens
- T38.5X1 Poisoning by other estrogens and progestogens, accidental (unintentional)
Inclusion term(s):
- Poisoning by other estrogens and progestogens NOS
- T38.5X2 Poisoning by other estrogens and progestogens, intentional self-harm
- T38.5X3 Poisoning by other estrogens and progestogens, assault
- T38.5X4 Poisoning by other estrogens and progestogens, undetermined
- T38.5X5 Adverse effect of other estrogens and progestogens
- T38.5X6 Underdosing of other estrogens and progestogens
-
T38.6 Poisoning by, adverse effect of and underdosing of antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified
Inclusion term(s):
- Poisoning by, adverse effect of and underdosing of tamoxifen
T38.6X Poisoning by, adverse effect of and underdosing of antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified
- T38.6X1 Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, accidental (unintentional)
Inclusion term(s):
- Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified NOS
- T38.6X2 Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, intentional self-harm
- T38.6X3 Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, assault
- T38.6X4 Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, undetermined
- T38.6X5 Adverse effect of antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified
- T38.6X6 Underdosing of antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified
-
T38.7 Poisoning by, adverse effect of and underdosing of androgens and anabolic congeners
T38.7X Poisoning by, adverse effect of and underdosing of androgens and anabolic congeners
- T38.7X1 Poisoning by androgens and anabolic congeners, accidental (unintentional)
Inclusion term(s):
- Poisoning by androgens and anabolic congeners NOS
- T38.7X2 Poisoning by androgens and anabolic congeners, intentional self-harm
- T38.7X3 Poisoning by androgens and anabolic congeners, assault
- T38.7X4 Poisoning by androgens and anabolic congeners, undetermined
- T38.7X5 Adverse effect of androgens and anabolic congeners
- T38.7X6 Underdosing of androgens and anabolic congeners
-
T38.8 Poisoning by, adverse effect of and underdosing of other and unspecified hormones and synthetic substitutes
T38.80 Poisoning by, adverse effect of and underdosing of unspecified hormones and synthetic substitutes
- T38.801 Poisoning by unspecified hormones and synthetic substitutes, accidental (unintentional)
Inclusion term(s):
- Poisoning by unspecified hormones and synthetic substitutes NOS
- T38.802 Poisoning by unspecified hormones and synthetic substitutes, intentional self-harm
- T38.803 Poisoning by unspecified hormones and synthetic substitutes, assault
- T38.804 Poisoning by unspecified hormones and synthetic substitutes, undetermined
- T38.805 Adverse effect of unspecified hormones and synthetic substitutes
- T38.806 Underdosing of unspecified hormones and synthetic substitutes
T38.81 Poisoning by, adverse effect of and underdosing of anterior pituitary [adenohypophyseal] hormones
- T38.811 Poisoning by anterior pituitary [adenohypophyseal] hormones, accidental (unintentional)
Inclusion term(s):
- Poisoning by anterior pituitary [adenohypophyseal] hormones NOS
- T38.812 Poisoning by anterior pituitary [adenohypophyseal] hormones, intentional self-harm
- T38.813 Poisoning by anterior pituitary [adenohypophyseal] hormones, assault
- T38.814 Poisoning by anterior pituitary [adenohypophyseal] hormones, undetermined
- T38.815 Adverse effect of anterior pituitary [adenohypophyseal] hormones
- T38.816 Underdosing of anterior pituitary [adenohypophyseal] hormones
T38.89 Poisoning by, adverse effect of and underdosing of other hormones and synthetic substitutes
- T38.891 Poisoning by other hormones and synthetic substitutes, accidental (unintentional)
Inclusion term(s):
- Poisoning by other hormones and synthetic substitutes NOS
- T38.892 Poisoning by other hormones and synthetic substitutes, intentional self-harm
- T38.893 Poisoning by other hormones and synthetic substitutes, assault
- T38.894 Poisoning by other hormones and synthetic substitutes, undetermined
- T38.895 Adverse effect of other hormones and synthetic substitutes
- T38.896 Underdosing of other hormones and synthetic substitutes
-
T38.9 Poisoning by, adverse effect of and underdosing of other and unspecified hormone antagonists
T38.90 Poisoning by, adverse effect of and underdosing of unspecified hormone antagonists
- T38.901 Poisoning by unspecified hormone antagonists, accidental (unintentional)
Inclusion term(s):
- Poisoning by unspecified hormone antagonists NOS
- T38.902 Poisoning by unspecified hormone antagonists, intentional self-harm
- T38.903 Poisoning by unspecified hormone antagonists, assault
- T38.904 Poisoning by unspecified hormone antagonists, undetermined
- T38.905 Adverse effect of unspecified hormone antagonists
- T38.906 Underdosing of unspecified hormone antagonists
T38.99 Poisoning by, adverse effect of and underdosing of other hormone antagonists
- T38.991 Poisoning by other hormone antagonists, accidental (unintentional)
Inclusion term(s):
- Poisoning by other hormone antagonists NOS
- T38.992 Poisoning by other hormone antagonists, intentional self-harm
- T38.993 Poisoning by other hormone antagonists, assault
- T38.994 Poisoning by other hormone antagonists, undetermined
- T38.995 Adverse effect of other hormone antagonists
- T38.996 Underdosing of other hormone antagonists