T63.313S
T63.313S — Toxic effect of venom of black widow spider, assault, sequela
Billable / specific codeICD-10-CMPOA exempt
T63.313S is a billable, specific ICD-10-CM code for toxic effect of venom of black widow spider, assault, sequela. It is valid for submission on a claim.
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
Risk adjustment
T63.313S 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.
Medicare coverage
T63.313S is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56559Billing and Coding: Allergy Skin Testing
- A56559Billing and Coding: Allergy Skin Testing
- A56612Billing and Coding: CT of the Head
- A56844Billing and Coding: RAST Type Tests
Related codes at this level
Codes that share T63.313. If T63.313S is not quite right, the correct code is usually one of these.
Questions about T63.313S
- Is T63.313S a billable ICD-10-CM code?
- Yes. T63.313S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T63.313S 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).