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K52.22 vs T61

K52.22 (Food protein-induced enteropathy) compared with T61 (Toxic effect of noxious substances eaten as seafood), 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. T61 carries an Excludes1 note covering K52.22: “food protein-induced enteropathy (K52.22)”

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

K52.22Food protein-induced enteropathyT61Toxic effect of noxious substances eaten as seafood
Billing statusBillableNon-billable header

Report instead: T61.01XA, T61.01XD, T61.01XS, T61.02XA, T61.02XD

ClassificationK00-K95 — Diseases of the Digestive System (K00-K95)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionFood protein-induced enteropathy is a billable ICD-10-CM diagnosis code (K52.22).Toxic effect of noxious substances eaten as seafood is a non-billable ICD-10-CM category code (T61).
7th characterThe appropriate 7th character is to be added to each code from category T61
Includes
noninfective inflammatory bowel disease
Use additional code
code to identify type of food allergy (Z91.01-, Z91.02-)
code(s):
for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
personal history of foreign body fully removed (Z87.821)

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