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T62.8X2A vs T78.0

T62.8X2A (Toxic effect of other specified noxious substances eaten as food, intentional self-harm, initial encounter) compared with T78.0 (Anaphylactic reaction due to food), from the official CMS tabular data.

Summary

These codes should not be reported together because T62.8X2A’s tabular entry lists T78.0 under Excludes1.

Official rule
What is different?

The conditions named and billing status.T62.8X2A is “Toxic effect of other specified noxious substances eaten as food, intentional self-harm, initial encounter”; T78.0 is “Anaphylactic reaction due to food”. T78.0 is a non-billable header; T62.8X2A is billable.

Registry fact

Can these codes be reported together?

No.T62.8X2A’s entry carries an Excludes1 note covering T78.0: “anaphylactic shock (reaction) due to adverse food reaction (T78.0-)”. Both may be reported only when the documentation shows the two conditions are unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

Yes.T62.8X2A’s tabular entry: “anaphylactic shock (reaction) due to adverse food reaction (T78.0-)”. The note covers T78.0.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes2 relationship?

None.Neither entry carries an Excludes2 note that names the other code. T78.0 carries 1 Excludes2 note covering other codes; the side-by-side table quotes them.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

One is a header.T78.0 is a non-billable header, but T62.8X2A is not one of its subdivisions.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Conflict

Excludes1 conflict

T62.8X2A
Toxic effect of other specified noxious substances eaten as food, intentional self-harm, initial encounter
↔
T78.0
Anaphylactic reaction due to food

What we found

No — do not report together.T62.8X2A carries an Excludes1 note covering T78.0: “anaphylactic shock (reaction) due to adverse food reaction (T78.0-)”

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

What to review

Report one of the two. Both may be reported only when the documentation shows the two conditions are unrelated to each other.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source / rule

CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Official guidance behind these answers

  • Section I.A.12.a — Excludes1 · applies to: Excludes1

    A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. An exception to the Excludes1 definition is the circumstance when the two conditions are unrelated to each other. If it is not clear whether the two conditions involving an Excludes1 note are related or not, query the provider. For example, code F45.8, Other somatoform disorders, has an Excludes1 note for "sleep related teeth grinding (G47.63)," because "teeth grinding" is an inclusion term under F45.8. Only one of these two codes should be assigned for teeth grinding. However psychogenic dysmenorrhea is also an inclusion term under F45.8, and a patient could have both this condition and sleep related teeth grinding. In this case, the two conditions are clearly unrelated to each other, and so it would be appropriate to report F45.8 and G47.63 together.

    ICD-10-CM Official Guidelines FY2026

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

T62.8X2AToxic effect of other specified noxious substances eaten as food, intentional self-harm, initial encounterT78.0Anaphylactic reaction due to food
Billing statusBillableNon-billable header

Report instead: T78.00XA, T78.00XD, T78.00XS, T78.01XA, T78.01XD

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 other specified noxious substances eaten as food, intentional self-harm, initial encounter is a billable ICD-10-CM diagnosis code (T62.8X2A).Anaphylactic reaction due to food is a non-billable ICD-10-CM category code (T78.0).
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 T78
Includes—
Anaphylactic reaction due to adverse food reaction
Anaphylactic shock or reaction due to nonpoisonous foods
Anaphylactoid reaction due to food
Excludes1
allergic reaction to food, such as:
anaphylactic shock (reaction) due to adverse food reaction (T78.0-)
bacterial food borne intoxications (A05.-)
dermatitis (L23.6, L25.4, L27.2)
food protein-induced enterocolitis syndrome (K52.21)
food protein-induced enteropathy (K52.22)
gastroenteritis (noninfective) (K52.29)
toxic effect of aflatoxin and other mycotoxins (T64)
toxic effect of cyanides (T65.0-)
toxic effect of hydrogen cyanide (T57.3-)
toxic effect of mercury (T56.1-)
contact with and (suspected) exposure to toxic substances (Z77.-)
—
Excludes2—
complications of surgical and medical care NEC (T80-T88)
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 also—
, if applicable, place of occurrence, such as:
highway rest stop (Y92.523)
school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)
service areas as the place of occurrence of the external cause (Y92.52-)
single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-)
transport vehicle as the place of occurrence of the external cause (Y92.81-)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources