T62 — Toxic effect of other noxious substances eaten as food
T62 is a non-billable header ICD-10-CM code for toxic effect of other noxious substances eaten as food. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category T62
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- allergic reaction to food, such as:
- anaphylactic shock (reaction) due to adverse food reaction (T78.0-)
- bacterial food borne intoxications (A05.-)
- dermatitis (L23.6, L25.4, L27.2)
- food protein-induced enterocolitis syndrome (K52.21)
- food protein-induced enteropathy (K52.22)
- gastroenteritis (noninfective) (K52.29)
- toxic effect of aflatoxin and other mycotoxins (T64)
- toxic effect of cyanides (T65.0-)
- toxic effect of hydrogen cyanide (T57.3-)
- toxic effect of mercury (T56.1-)
Other codes that can never be billed with T62
These codes carry an Excludes1 note pointing at T62. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T62 alone.
- A05Other bacterial foodborne intoxications, not elsewhere classified
Risk adjustment
T62 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead T62
5 child codes. Green means billable.
Questions about T62
- Is T62 a billable ICD-10-CM code?
- No. T62 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T62 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Toxic effects of substances chiefly nonmedicinal as to source (T51-T65).
- What cannot be coded together with T62?
- T62 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.