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T78.0 vs T79.4XXD

T78.0 (Anaphylactic reaction due to food) compared with T79.4XXD (Traumatic shock, subsequent encounter), from the official CMS tabular data.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Summary

These codes should not be reported together because T79.4XXD’s tabular entry lists T78.0 under Excludes1.

Official rule
What is different?

The conditions named and billing status.T78.0 is “Anaphylactic reaction due to food”; T79.4XXD is “Traumatic shock, subsequent encounter”. T78.0 is a non-billable header; T79.4XXD is billable.

Registry fact

Can these codes be reported together?

No.T79.4XXD’s entry carries an Excludes1 note covering T78.0: “anaphylactic shock 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.T79.4XXD’s tabular entry: “anaphylactic shock due to adverse food reaction (T78.0-)”. The note covers T78.0.

Official ruleGuide: Excludes1 vs Excludes2

Is one a parent or header code?

One is a header.T78.0 is a non-billable header, but T79.4XXD is not one of its subdivisions.

Registry fact

Nothing found in 3 other checks; 1 check does not apply
Is there an Excludes2 relationship?

None.Neither entry carries an Excludes2 note that names the other code. T78.0 carries 1 Excludes2 note and T79.4XXD carries 4 Excludes2 notes 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.

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?

Excludes1 — generally not reported together

Excludes1 conflict

T79.4XXD
Traumatic shock, subsequent encounter
↔
T78.0
Anaphylactic reaction due to food

What we found

No — do not report together.T79.4XXD carries an Excludes1 note covering T78.0: “anaphylactic shock 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 are not ordinarily reported together for the same encounter, because the classification treats them as mutually exclusive forms of the same condition. The documented exception is when the two conditions are 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 FY2027

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

Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.

Official descriptionDiffers
T78.0

Anaphylactic reaction due to food

T79.4XXD

Traumatic shock, subsequent encounter

StatusDiffers
T78.0
Non-billable header

A header is not reported on a claim; a code beneath it is.

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

T79.4XXD
Billable
Excludes1Differs
T78.0

None at this code

T79.4XXD
  • anaphylactic shock due to adverse food reaction (T78.0-)
  • anaphylactic shock due to correct medicinal substance properly administered (T88.6)
  • anaphylactic shock due to serum (T80.5-)
  • anaphylactic shock NOS (T78.2)
  • electric shock (T75.4)
  • nontraumatic shock NEC (R57.-)
  • obstetric shock (O75.1)
  • postprocedural shock (T81.1-)
  • septic shock (R65.21)
  • shock complicating abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • shock due to anesthesia (T88.2)
  • shock due to lightning (T75.01)
  • shock NOS (R57.9)
Excludes2Differs
Only at T78.0

No note of its own beyond the shared notes

Only at T79.4XXD
  • acute respiratory distress syndrome (J80)
  • complications occurring during or following medical procedures (T80-T88)
  • newborn respiratory distress syndrome (P22.0)
Shared by both codes (1 note)
  • complications of surgical and medical care NEC (T80-T88)
Code alsoDiffers
T78.0
  • , 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-)
T79.4XXD

None at this code

CategoryDiffers
T78.0

T78 Adverse effects, not elsewhere classified

T79.4XXD

T79 Certain early complications of trauma, not elsewhere classified

ChapterSame for both

S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)

IncludesDiffers
T78.0
  • Anaphylactic reaction due to adverse food reaction
  • Anaphylactic shock or reaction due to nonpoisonous foods
  • Anaphylactoid reaction due to food
T79.4XXD
  • Shock (immediate) (delayed) following injury
7th characterDiffers
T78.0
  • The appropriate 7th character is to be added to each code from category T78
T79.4XXD
  • The appropriate 7th character is to be added to each code from category T79

No Code first and Use additional code note at either code.

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. In a row that differs, each code’s own notes are listed under it, and the notes every code shares are listed once beneath them.

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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