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2025 ICD-10-CM code T38.0X

Poisoning by, adverse effect of and underdosing of glucocorticoids and synthetic analogues.

Code first the underlying condition if it exists. Ensure proper use of 7th character to specify initial/subsequent encounter and sequelae. Use additional external cause codes for accidents and assaults. Adhere to guidelines for combination codes and specific manifestations.

Use 7th character to specify initial encounter (A), subsequent encounter (D), or sequela (S).

Medical necessity is established by the documented signs, symptoms, and clinical findings associated with the poisoning, adverse effect, or underdosing of the glucocorticoid or synthetic analogue.

IMPORTANT Use additional codes to identify the specific nature of adverse effects (e.g., T88.7 for adverse effect NOS, K29.- for aspirin gastritis). Use additional code(s) to specify manifestations of poisoning and underdosing. Use secondary code(s) from Chapter 20 (External causes of morbidity V01-Y99) to indicate the cause of injury/poisoning, unless the cause is already included in the code. Use additional code to identify any retained foreign body, if applicable (Z18.-)

In simple words: This code covers situations related to glucocorticoid medications, including taking too much, taking too little, or experiencing negative side effects.

This code encompasses poisoning by, adverse effects of, and underdosing of glucocorticoids and their synthetic analogues. It includes adverse effects from correctly administered substances, poisoning due to overdoses, and poisoning from incorrect administration. For adverse effects, the code should be used in conjunction with a code specifying the nature of the adverse effect.

Example 1: A patient is admitted to the hospital with an overdose of prednisone, a synthetic glucocorticoid. Code T38.0X1A would be used for the initial encounter., A patient experiences Cushing's syndrome as an adverse effect of long-term prednisone use. Code T38.0X5A is used, along with a code for Cushing's syndrome., A patient on long-term glucocorticoid therapy accidentally takes less medication than prescribed and experiences symptoms of adrenal insufficiency. T38.0X6 is applied, along with a code for adrenal insufficiency.

Documentation should clearly specify the type of glucocorticoid or synthetic analogue involved, the route of administration (if applicable), the circumstances surrounding the poisoning or underdosing, and the resulting signs and symptoms. For adverse effects, the specific nature of the adverse effect must be documented. If the poisoning or adverse effect is accidental, it should be clearly documented as such.

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