Is T62.0X a billable ICD-10-CM code?

No. T62.0X is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does T62.0X 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 T62.0X?

T62.0X carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above T62.0X (T62) and apply to it just the same.

T62.0X

T62.0X — Toxic effect of ingested mushrooms

Non-billable headerICD-10-CM

T62.0X is a non-billable header ICD-10-CM code for toxic effect of ingested mushrooms. 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 inherited from the categories above T62.0X

These are not written on T62.0X, but they bind it: a note on a category applies to every code beneath it. Billing T62.0X with anything listed here is a denial.

Written on T62 — Toxic effect of other noxious substances eaten as food

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-)

Risk adjustment

T62.0X 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 history

T62.0X has not changed since FY2024 — no addition, revision or deletion across the FY2024–FY2027 ICD-10-CM releases.

Code to one of these instead T62.0X

4 child codes. Green means billable.

Questions about T62.0X

Is T62.0X a billable ICD-10-CM code?: No. T62.0X is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does T62.0X 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 T62.0X?: T62.0X carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above T62.0X (T62) and apply to it just the same.