S43.60XD vs T63.4

S43.60XD (Sprain of unspecified sternoclavicular joint, subsequent encounter) compared with T63.4 (Toxic effect of venom of other arthropods), 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. S43.60XD carries an Excludes2 note covering T63.4: “insect bite or sting, venomous (T63.4)”

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

Side by side

	S43.60XDSprain of unspecified sternoclavicular joint, subsequent encounter	T63.4Toxic effect of venom of other arthropods
Billing status	Billable	Non-billable header Report instead: T63.411A, T63.411D, T63.411S, T63.412A, T63.412D
Classification	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
Definition	Sprain of unspecified sternoclavicular joint, subsequent encounter is a billable ICD-10-CM diagnosis code (S43.60D).	Toxic effect of venom of other arthropods is a non-billable ICD-10-CM category code (T63.4).
7th character	The appropriate 7th character is to be added to each code from category S43	The appropriate 7th character is to be added to each code from category T63
Includes	avulsion of joint or ligament of shoulder girdle laceration of cartilage, joint or ligament of shoulder girdle sprain of cartilage, joint or ligament of shoulder girdle traumatic hemarthrosis of joint or ligament of shoulder girdle	bite or touch of venomous animal pricked or stuck by thorn or leaf
Use additional code	—	code, if applicable, for anaphylactic shock (T78.2) code(s): for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)

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