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Compare/T61 vs T65.82

T61 vs T65.82

T61 (Toxic effect of noxious substances eaten as seafood) compared with T65.82 (Toxic effect of harmful algae and algae toxins), 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. T61 carries an Excludes1 note covering T65.82: “toxic effect of harmful algae bloom (T65.82-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. T61 carries an Excludes1 note covering T65.82: “toxic effect of red tide (T65.82-)”

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

T61Toxic effect of noxious substances eaten as seafoodT65.82Toxic effect of harmful algae and algae toxins
Billing statusNon-billable header

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

Non-billable header

Report instead: T65.821A, T65.821D, T65.821S, T65.822A, T65.822D

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 harmful algae and algae toxins is a non-billable ICD-10-CM category code (T65.82).
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 T65
Includes
Toxic effect of (harmful) algae bloom NOS
Toxic effect of blue-green algae bloom
Toxic effect of brown tide
Toxic effect of cyanobacteria bloom
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