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ICD-10-CM 2027 diagnosis code

T38.811SPoisoning by anterior pituitary [adenohypophyseal] hormones, accidental (unintentional), sequela

✓ Billable / specificPOA exemptRequires 7th character

T38.811S is a valid, billable ICD-10-CM code for poisoning by anterior pituitary [adenohypophyseal] hormones, accidental (unintentional), sequela. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Poisoning by anterior pituitary hormones, acc, sequela

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About T38.811S

T38.811S is the ICD-10-CM diagnosis code for poisoning by anterior pituitary [adenohypophyseal] hormones, accidental (unintentional), sequela. It belongs to category T38 (poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified), block T36-T50 (poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "S" means sequela: use it for complications or conditions that arise as a direct result of the original condition.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 922 (Other Injury, Poisoning and Toxic Effect Diagnoses with MCC, relative weight 1.6238) and DRG 923 (Other Injury, Poisoning and Toxic Effect Diagnoses without MCC, relative weight 0.9973), in MDC 21 (Injuries, Poisonings and Toxic Effects of Drugs), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 909.0 (late effect of poisoning due to drug, medicinal or biological substance) and E929.2 (late effects of accidental poisoning).

7th character

Ssequela

Other encounter types for T38.811:

Notes that apply from higher levels

Instructions written at a parent level also apply to T38.811S.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 909.0Late effect of poisoning due to drug, medicinal or biological substanceapproximate, combination
  • E929.2Late effects of accidental poisoningapproximate, combination

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about T38.811S

Is T38.811S billable?

Yes. T38.811S is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "S" at the end of T38.811S mean?

It is the 7th character for sequela. Per the official guidelines, use it for complications or conditions that arise as a direct result of the original condition.

Can T38.811S be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict T38.811S as a principal diagnosis.

Is T38.811S a CC or MCC?

No. T38.811S is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does T38.811S group to?

T38.811S is used in the MS-DRG v44.0 logic for MS-DRG 922 (Other Injury, Poisoning and Toxic Effect Diagnoses with MCC) and MS-DRG 923 (Other Injury, Poisoning and Toxic Effect Diagnoses without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for T38.811S?

The CMS General Equivalence Mappings map T38.811S to ICD-9-CM 909.0 and E929.2.