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T65.821 vs T65.823

T65.821 (Toxic effect of harmful algae and algae toxins, accidental (unintentional)) compared with T65.823 (Toxic effect of harmful algae and algae toxins, assault), from the official CMS tabular data. T65.821 and T65.823 code the same substance (Algae) with a different intent.

Relationship

Informational

Drug table relationship

T65.821
Toxic effect of harmful algae and algae toxins, accidental (unintentional)
T65.823
Toxic effect of harmful algae and algae toxins, assault

Same substance, different circumstance of exposure.

Same substance — assault (Algae)

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

Can these codes be reported together?

Same substance, different intent. T65.821 and T65.823 code the same substance (Algae) 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.

Side by side

T65.821Toxic effect of harmful algae and algae toxins, accidental (unintentional)T65.823Toxic effect of harmful algae and algae toxins, assault
Billing statusNon-billable headerNon-billable header
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 harmful algae and algae toxins, accidental (unintentional) is a non-billable ICD-10-CM category code (T65.821).Toxic effect of harmful algae and algae toxins, assault is a non-billable ICD-10-CM category code (T65.823).
7th characterThe appropriate 7th character is to be added to each code from category T65The appropriate 7th character is to be added to each code from category T65
Includes
Toxic effect of harmful algae and algae toxins NOS
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