T07.XXXS vs T63.4
T07.XXXS (Unspecified multiple injuries, sequela) compared with T63.4 (Toxic effect of venom of other arthropods), 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. T07.XXXS carries an Excludes1 note covering T63.4: “insect bite or sting, venomous (T63.4)”
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
| T07.XXXSUnspecified multiple injuries, sequela | 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 | Unspecified multiple injuries, sequela is a billable ICD-10-CM diagnosis code (T07S). | 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 code T07 | The appropriate 7th character is to be added to each code from category T63 |
| Includes | — | 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