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T80.52XA vs T80.52XD

T80.52XA (Anaphylactic reaction due to vaccination, initial encounter) compared with T80.52XD (Anaphylactic reaction due to vaccination, subsequent encounter), from the official CMS tabular data. T80.52XA and T80.52XD code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. T80.52XA and T80.52XD code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

T80.52XAAnaphylactic reaction due to vaccination, initial encounterT80.52XDAnaphylactic reaction due to vaccination, subsequent encounter
Billing statusBillableBillable
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)
DefinitionAnaphylactic reaction due to vaccination, initial encounter is a billable ICD-10-CM diagnosis code (T80.52A).Anaphylactic reaction due to vaccination, subsequent encounter is a billable ICD-10-CM diagnosis code (T80.52D).
7th characterThe appropriate 7th character is to be added to each code from category T80The appropriate 7th character is to be added to each code from category T80
Includes
complications following perfusion
complications following perfusion
Use additional code
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
code to identify devices involved and details of circumstances (Y62-Y82)
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
code to identify devices involved and details of circumstances (Y62-Y82)

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