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T62.1X4A vs T62.1X4S

T62.1X4A (Toxic effect of ingested berries, undetermined, initial encounter) compared with T62.1X4S (Toxic effect of ingested berries, undetermined, sequela), from the official CMS tabular data. T62.1X4A and T62.1X4S code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. T62.1X4A and T62.1X4S code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

T62.1X4AToxic effect of ingested berries, undetermined, initial encounterT62.1X4SToxic effect of ingested berries, undetermined, sequela
Billing statusBillableBillable
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 ingested berries, undetermined, initial encounter is a billable ICD-10-CM diagnosis code (T62.1X4A).Toxic effect of ingested berries, undetermined, sequela is a billable ICD-10-CM diagnosis code (T62.1X4S).
7th characterThe appropriate 7th character is to be added to each code from category T62The appropriate 7th character is to be added to each code from category T62
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