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B19 vs T80.61XA

B19 (Unspecified viral hepatitis) compared with T80.61XA (Other serum reaction due to administration of blood and blood products, initial encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. T80.61XA carries an Excludes2 note covering B19: “serum hepatitis (B16-B19)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

B19Unspecified viral hepatitisT80.61XAOther serum reaction due to administration of blood and blood products, initial encounter
Billing statusNon-billable header

Report instead: B19.0, B19.10, B19.11, B19.20, B19.21

Billable
ClassificationA00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionUnspecified viral hepatitis is a non-billable ICD-10-CM category code (B19).Other serum reaction due to administration of blood and blood products, initial encounter is a billable ICD-10-CM diagnosis code (T80.61A).
7th characterThe appropriate 7th character is to be added to each code from category T80
Includes
complications following perfusion
Use additional code
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
code to identify devices involved and details of circumstances (Y62-Y82)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources