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Compare/T63.3 vs W57

T63.3 vs W57

T63.3 (Toxic effect of venom of spider) compared with W57 (Bitten or stung by nonvenomous insect and other nonvenomous arthropods), 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. W57 carries an Excludes1 note covering T63.3: “contact with venomous insects and arthropods (T63.2-, T63.3-, T63.4-)”

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. W57 carries an Excludes1 note covering T63.3: “Toxic effect of contact with venomous animals and plants (T63.-)”

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

T63.3Toxic effect of venom of spiderW57Bitten or stung by nonvenomous insect and other nonvenomous arthropods
Billing statusNon-billable header

Report instead: T63.301A, T63.301D, T63.301S, T63.302A, T63.302D

Non-billable header

Report instead: W57.XXXA, W57.XXXD, W57.XXXS

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionToxic effect of venom of spider is a non-billable ICD-10-CM category code (T63.3).Bitten or stung by nonvenomous insect and other nonvenomous arthropods is a non-billable ICD-10-CM category code (W57).
7th characterThe appropriate 7th character is to be added to each code from category T63The appropriate 7th character is to be added to code W57
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)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources