T63.011S

T63.011S: Toxic effect of rattlesnake venom, accidental (unintentional), sequela

Billable / specific codeICD-10-CMPOA exempt

T63.011S is a billable, specific ICD-10-CM code for toxic effect of rattlesnake venom, accidental (unintentional), sequela. It is valid for submission on a claim.

Check T63.011S with the rest of the claim: free scrubber

7th character "S": sequela

The appropriate 7th character is to be added to each code from category T63

A: initial encounter
D: subsequent encounter
S: sequela

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Toxic effect of rattlesnake venom NOS

Excludes2 inherited from the categories above T63.011S

Not part of this code, but both may be coded when both are present.

Written on T63: Toxic effect of contact with venomous animals and plants

ingestion of toxic animal or plant (T61.-, T62.-)

Other codes that can never be billed with T63.011S

Their own Excludes1 notes name this code, so the conflict is not listed above.

W64Exposure to other animate mechanical forces
W64.XXXAExposure to other animate mechanical forces, initial encounter
W64.XXXDExposure to other animate mechanical forces, subsequent encounter
W64.XXXSExposure to other animate mechanical forces, sequela
W56Contact with nonvenomous marine animal

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

T63.011S is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56612Billing and Coding: CT of the Head
A56844Billing and Coding: RAST Type Tests
A57326Billing and Coding: Electrocardiograms
A60360Billing and Coding: Allergy Diagnostic Testing

Code history

Unchanged in every release from FY2024 to FY2027.