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Compare/T61 vs T63

T61 vs T63

T61 (Toxic effect of noxious substances eaten as seafood) compared with T63 (Toxic effect of contact with venomous animals and plants), 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. T63 carries an Excludes2 note covering T61: “ingestion of toxic animal or plant (T61.-, T62.-)”

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

Side by side

T61Toxic effect of noxious substances eaten as seafoodT63Toxic effect of contact with venomous animals and plants
Billing statusNon-billable header

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

Non-billable header

Report instead: T63.001A, T63.001D, T63.001S, T63.002A, T63.002D

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)
DefinitionToxic effect of noxious substances eaten as seafood is a non-billable ICD-10-CM category code (T61).Toxic effect of contact with venomous animals and plants is a non-billable ICD-10-CM category code (T63).
7th characterThe appropriate 7th character is to be added to each code from category T61The 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(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)
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)
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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