T61 vs T63.612D
T61 (Toxic effect of noxious substances eaten as seafood) compared with T63.612D (Toxic effect of contact with Portuguese Man-o-war, intentional self-harm, subsequent encounter), 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. T63.612D 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 seafood | T63.612DToxic effect of contact with Portuguese Man-o-war, intentional self-harm, subsequent encounter | |
|---|---|---|
| Billing status | Non-billable header Report instead: T61.01XA, T61.01XD, T61.01XS, T61.02XA, T61.02XD | Billable |
| 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 | Toxic effect of noxious substances eaten as seafood is a non-billable ICD-10-CM category code (T61). | Toxic effect of contact with Portuguese Man-o-war, intentional self-harm, subsequent encounter is a billable ICD-10-CM diagnosis code (T63.612D). |
| 7th character | The appropriate 7th character is to be added to each code from category T61 | 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(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) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources