T62.94XS ICD-10-CM Code: Toxic effect of unspecified noxious substance eaten as food, undetermined, sequela
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 922 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC (MDC 21)
- MS-DRG 923 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC (MDC 21)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Overview
Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T62.94XS in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- allergic reaction to food, such as: inherited from T62
- anaphylactic shock (reaction) due to adverse food reaction (T78.0-) inherited from T62Compare T62.94XS vs T78.0 →
- bacterial food borne intoxications (A05.-) inherited from T62Compare T62.94XS vs A05 →
- dermatitis (L23.6, L25.4, L27.2) inherited from T62Compare T62.94XS vs L23.6 →
- food protein-induced enterocolitis syndrome (K52.21) inherited from T62Compare T62.94XS vs K52.21 →
- food protein-induced enteropathy (K52.22) inherited from T62Compare T62.94XS vs K52.22 →
- gastroenteritis (noninfective) (K52.29) inherited from T62Compare T62.94XS vs K52.29 →
- toxic effect of aflatoxin and other mycotoxins (T64) inherited from T62Compare T62.94XS vs T64 →
- toxic effect of cyanides (T65.0-) inherited from T62Compare T62.94XS vs T65.0 →
- toxic effect of hydrogen cyanide (T57.3-) inherited from T62Compare T62.94XS vs T57.3 →
- toxic effect of mercury (T56.1-) inherited from T62Compare T62.94XS vs T56.1 →
- contact with and (suspected) exposure to toxic substances (Z77.-) inherited from T51-T65Compare T62.94XS vs Z77 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code(s): inherited from T51-T65
- for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70) inherited from T51-T65
- personal history of foreign body fully removed (Z87.821) inherited from T51-T65
- to identify any retained foreign body, if applicable (Z18.-) inherited from T51-T65
Frequently Compared Codes
The official Excludes notes on T62.94XS name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2016 — 2015-10-01In the code set at ICD-10-CM adoptionToxic effect of unspecified noxious substance eaten as food, undetermined, sequela
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
Other codes that name T62.94XS or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes2 note: T63 (via T62.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
MS-DRG Grouper Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 2 MS-DRGs: DRG 922 (MDC 21), DRG 923 (MDC 21).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INJ075 — Poisoning/toxic effect/adverse effects/underdosing, sequela (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same injury, other encounter phase
Same injury, coded at a different phase of treatment via the 7th character.
T62.94XA — Toxic effect of unspecified noxious substance eaten as food, undetermined, initial encounter Compare T62.94XS vs T62.94XA →, T62.94XD — Toxic effect of unspecified noxious substance eaten as food, undetermined, subsequent encounter
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Poisoning/toxic effect/adverse effects/underdosing, sequela).
Contextual Map
Every relationship of T62.94XS in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
- T51-T65 — Toxic effects of substances chiefly nonmedicinal as to source [Hierarchy]
Referenced by Excludes2 notes
- T63 — Toxic effect of contact with venomous animals and plants [Excludes2](via T62.-): “ingestion of toxic animal or plant (T61.-, T62.-)” · check together
Clinical classification (CCSR)
- INJ075 — Poisoning/toxic effect/adverse effects/underdosing, sequela [CCSR]
MS-DRG Grouper
- DRG 922 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC [MS-DRG]: “OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC (MDC 21)”
- DRG 923 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC [MS-DRG]: “OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC (MDC 21)”
MDC crossing · procedures (32029)
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 0016070 — Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016071 — Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016072 — Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016073 — Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016074 — Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- and 32024 more
Nearest codes (40)
- T62 — Toxic effect of other noxious substances eaten as food [Sibling]
- T62.2X3D — Toxic effect of other ingested (parts of) plant(s), assault, subsequent encounter [Sibling]
- T62.2X3S — Toxic effect of other ingested (parts of) plant(s), assault, sequela [Sibling]
- T62.2X4 — Toxic effect of other ingested (parts of) plant(s), undetermined [Sibling]
- T62.2X4A — Toxic effect of other ingested (parts of) plant(s), undetermined, initial encounter [Sibling]
- T62.2X4D — Toxic effect of other ingested (parts of) plant(s), undetermined, subsequent encounter [Sibling]
- T62.2X4S — Toxic effect of other ingested (parts of) plant(s), undetermined, sequela [Sibling]
- T62.8 — Toxic effect of other specified noxious substances eaten as food [Sibling]
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T62.94XS require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T62.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T62.94XS in its code family, with their registry titles.
- T62.92 — Toxic effect of unspecified noxious substance eaten as food, intentional self-harm
- T62.92XA — Toxic effect of unspecified noxious substance eaten as food, intentional self-harm, initial encounter
- T62.92XD — Toxic effect of unspecified noxious substance eaten as food, intentional self-harm, subsequent encounter
- T62.92XS — Toxic effect of unspecified noxious substance eaten as food, intentional self-harm, sequela
- T62.93 — Toxic effect of unspecified noxious substance eaten as food, assault
- T62.93XA — Toxic effect of unspecified noxious substance eaten as food, assault, initial encounter
- T62.93XD — Toxic effect of unspecified noxious substance eaten as food, assault, subsequent encounter
- T62.93XS — Toxic effect of unspecified noxious substance eaten as food, assault, sequela
- T62.94 — Toxic effect of unspecified noxious substance eaten as food, undetermined
- T62.94XA — Toxic effect of unspecified noxious substance eaten as food, undetermined, initial encounter