2025 ICD-10-CM code T38.0X6
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury, poisoning and certain other consequences of external causes - Poisoning by drugs, medicaments and biological substances XIX Injury, poisoning and certain other consequences of external causes (S00-T98) Feed
Underdosing of glucocorticoids and synthetic analogues.
Modifiers may be applicable depending on the circumstances of the underdosing and the services provided. Consult the appropriate modifier guidelines.
Medical necessity is established when the underdosing of glucocorticoids or their synthetic analogues results in clinically significant adverse effects that require medical intervention. Documentation should support a clear link between the underdosing and the resulting complications.
The physician is responsible for diagnosing the underdosing, identifying the resulting adverse effects, and managing the patient's condition. This includes ordering appropriate diagnostic tests and implementing a treatment plan to address the consequences of the underdosing.Documentation of the patient's medication regimen, including prescribed dosages and any deviations, is essential.
- XIX Injury, poisoning and certain other consequences of external causes (S00-T98)
- T36-T50 Poisoning by drugs, medicaments and biological substances
In simple words: This code is used when someone hasn't taken enough glucocorticoid medicine (like cortisone) or similar drugs.It's added to the main code describing any health problems caused by this.
This code signifies underdosing of glucocorticoids and their synthetic analogues.It's crucial to note that this code should be used as a secondary code, with the primary code reflecting the resulting adverse effect of the underdosing.Additional codes may be necessary to specify the manifestations of the poisoning or any other related conditions.
Example 1: A patient with adrenal insufficiency is found to be unintentionally underdosing their prescribed glucocorticoid medication due to a misunderstanding of the instructions. T38.0X6 would be used as a secondary code in conjunction with the code for adrenal insufficiency (E27.40)., A patient with a history of autoimmune disease is intentionally underdosing their glucocorticoid medication due to concerns about side effects. T38.0X6 would be used as a secondary code along with a code to reflect the adverse event or the patient's intentional noncompliance., A patient with chronic obstructive pulmonary disease experiences a worsening of their symptoms due to accidental underdosing of their inhaled glucocorticoid medication.T38.0X6 would be added to the primary code indicating the exacerbation of COPD.
Detailed medical history, including the prescribed glucocorticoid medication, the prescribed dosage, and the actual dosage taken by the patient.Documentation of any symptoms, signs, or laboratory findings related to the underdosing.Records of any communication between the patient and healthcare provider concerning the medication regimen.Any relevant clinical findings or lab tests documenting the effects of the underdosing.
** This code is part of a larger group of codes related to poisoning and adverse effects of drugs.Careful consideration of all relevant clinical factors is essential for accurate coding.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Endocrinology, Rheumatology, Pulmonology, Internal Medicine
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Emergency Room