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S44.50 vs T63.4

S44.50 (Injury of cutaneous sensory nerve at shoulder and upper arm level, unspecified arm) 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. S44.50 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

S44.50Injury of cutaneous sensory nerve at shoulder and upper arm level, unspecified armT63.4Toxic effect of venom of other arthropods
Billing statusNon-billable header

Report instead: S44.50XA, S44.50XD, S44.50XS

Non-billable header

Report instead: T63.411A, T63.411D, T63.411S, T63.412A, T63.412D

ClassificationS00-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)
DefinitionInjury of cutaneous sensory nerve at shoulder and upper arm level, unspecified arm is a non-billable ICD-10-CM category code (S44.50).Toxic effect of venom of other arthropods is a non-billable ICD-10-CM category code (T63.4).
7th characterThe appropriate 7th character is to be added to each code from category S44The appropriate 7th character is to be added to each code from category T63
Includes
injuries of axilla
injuries of scapular region
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)

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