T63.113 (Toxic effect of venom of gila monster, assault) compared with T63.114 (Toxic effect of venom of gila monster, undetermined), from the official CMS tabular data. T63.113 and T63.114 code the same substance (Gila) with a different intent.
Same substance, different circumstance of exposure.
Same substance — undetermined intent (Gila)
Accidental poisoning, intentional self-harm, assault, undetermined intent, adverse effect and underdosing are mutually exclusive columns — exactly one applies to a given encounter.
Source: CMS Table of Drugs and Chemicals
Same substance, different intent. T63.113 and T63.114 code the same substance (Gila) with a different circumstance of exposure.
From the CMS Table of Drugs and Chemicals: accidental poisoning, intentional self-harm, assault, undetermined intent, adverse effect and underdosing are mutually exclusive columns — only one of them applies to a given encounter.
| T63.113Toxic effect of venom of gila monster, assault | T63.114Toxic effect of venom of gila monster, undetermined | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| 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 venom of gila monster, assault is a non-billable ICD-10-CM category code (T63.113). | Toxic effect of venom of gila monster, undetermined is a non-billable ICD-10-CM category code (T63.114). |
| 7th character | The appropriate 7th character is to be added to each code from category T63 | 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 | 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