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J30.1 vs T78.41XD

J30.1 (Allergic rhinitis due to pollen) compared with T78.41XD (Arthus phenomenon, subsequent encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. T78.41XD carries an Excludes1 note covering J30.1: “hay fever (J30.1)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

J30.1Allergic rhinitis due to pollenT78.41XDArthus phenomenon, subsequent encounter
Billing statusBillableBillable
ClassificationJ00-J99 — Diseases of the Respiratory System (J00-J99)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionAllergic rhinitis due to pollen is a billable ICD-10-CM diagnosis code (J30.1).Arthus phenomenon, subsequent encounter is a billable ICD-10-CM diagnosis code (T78.41D).
7th characterThe appropriate 7th character is to be added to each code from category T78
Includes
spasmodic rhinorrhea
Allergy NOS due to pollen
Hay fever
Pollinosis
Arthus reaction

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