T63.61 ICD-10-CM Code: Toxic effect of contact with Portuguese Man-o-war
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T63.61 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- bite or touch of venomous animal
- pricked or stuck by thorn or leaf
Inclusion Terms
Alternative terms the tabular list files under this code.
- Toxic effect of contact with bluebottle
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).
- sea-snake venom (T63.09) Compare T63.61 vs T63.09 →
- contact with and (suspected) exposure to toxic substances (Z77.-) Compare T63.61 vs Z77 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- poisoning by ingestion of shellfish (T61.78-) Compare T63.61 vs T61.78 →
- ingestion of toxic animal or plant (T61.-, T62.-) Compare T63.61 vs T61 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional 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)
- to identify any retained foreign body, if applicable (Z18.-)
Change history
- FY2022 — 2021-10-01Description revisedToxic effect of contact with Portugese Man-o-war → Toxic effect of contact with Portuguese Man-o-warFY2022 changes
- FY2022 — 2021-10-01Short description revisedToxic effect of contact with Portugese Man-o-war → Toxic effect of contact with Portuguese Man-o-warFY2022 changes
Verify Before Coding
- Not billable as written — a more specific code is required: T63.611A, T63.611D, T63.611S, T63.612A, T63.612D.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category T63" Options: T63.611A, T63.611D, T63.611S, T63.612A, T63.612D, T63.612S
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of T63.61 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
- T63.6 — Toxic effect of contact with other venomous marine animals [Hierarchy]
Referenced by Excludes1 notes (15)
- W50 — Accidental hit, strike, kick, twist, bite or scratch by another person [Excludes1](via T63.-): “Toxic effect of contact with venomous animals and plants (T63.-)”
- W50-W64 — Exposure to animate mechanical forces (W50-W64) [Excludes1](via T63.-): “Toxic effect of contact with venomous animals and plants (T63.-)”
- W51 — Accidental striking against or bumped into by another person [Excludes1](via T63.-): “Toxic effect of contact with venomous animals and plants (T63.-)”
- W52 — Crushed, pushed or stepped on by crowd or human stampede [Excludes1](via T63.-): “Toxic effect of contact with venomous animals and plants (T63.-)”
- W53 — Contact with rodent [Excludes1](via T63.-): “Toxic effect of contact with venomous animals and plants (T63.-)”
- W54 — Contact with dog [Excludes1](via T63.-): “Toxic effect of contact with venomous animals and plants (T63.-)”
- W55 — Contact with other mammals [Excludes1](via T63.-): “Toxic effect of contact with venomous animals and plants (T63.-)”
- W56 — Contact with nonvenomous marine animal [Excludes1](via T63.-): “contact with venomous marine animal (T63.-)”
- and 7 more
Referenced by Excludes2 notes
- S71 — Open wound of hip and thigh [Excludes2](via T63.-): “bite of venomous animal (T63.-)”
Nearest codes (40)
- T63 — Toxic effect of contact with venomous animals and plants [Sibling]
- T63.514D — Toxic effect of contact with stingray, undetermined, subsequent encounter [Sibling]
- T63.514S — Toxic effect of contact with stingray, undetermined, sequela [Sibling]
- T63.59 — Toxic effect of contact with other venomous fish [Sibling]
- T63.591 — Toxic effect of contact with other venomous fish, accidental (unintentional) [Sibling]
- T63.591A — Toxic effect of contact with other venomous fish, accidental (unintentional), initial encounter [Sibling]
- T63.591D — Toxic effect of contact with other venomous fish, accidental (unintentional), subsequent encounter [Sibling]
- T63.591S — Toxic effect of contact with other venomous fish, accidental (unintentional), sequela [Sibling]
- and 32 more
Change history (2)
- FY2022 — Description revised [Change history]
- and 1 more
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name T63.61 or its code family.
15 Excludes1 notes: W50 (via T63.-), W50-W64 (via T63.-), W51 (via T63.-), W52 (via T63.-), W53 (via T63.-), W54 (via T63.-), W55 (via T63.-), W56 (via T63.-), W57 (via T63.-), W58 (via T63.-) and 5 more.
1 Excludes2 notes: S71 (via T63.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Can T63.61 be billed directly?
No. T63.61 (Toxic effect of contact with Portuguese Man-o-war) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does T63.61 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T63.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T63.61 in its code family, with their registry titles.
- T63.594 — Toxic effect of contact with other venomous fish, undetermined
- T63.594A — Toxic effect of contact with other venomous fish, undetermined, initial encounter
- T63.594D — Toxic effect of contact with other venomous fish, undetermined, subsequent encounter
- T63.594S — Toxic effect of contact with other venomous fish, undetermined, sequela
- T63.6 — Toxic effect of contact with other venomous marine animals
- T63.611 — Toxic effect of contact with Portuguese Man-o-war, accidental (unintentional)
- T63.611A — Toxic effect of contact with Portuguese Man-o-war, accidental (unintentional), initial encounter
- T63.611D — Toxic effect of contact with Portuguese Man-o-war, accidental (unintentional), subsequent encounter
- T63.611S — Toxic effect of contact with Portuguese Man-o-war, accidental (unintentional), sequela
- T63.612 — Toxic effect of contact with Portuguese Man-o-war, intentional self-harm