T63.4

T63.4: Toxic effect of venom of other arthropods

Non-billable headerICD-10-CM

T63.4 is a non-billable header ICD-10-CM code for toxic effect of venom of other arthropods. 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 T63

A: initial encounter
D: subsequent encounter
S: sequela

Use additional code

Add a secondary code to capture the detail described below.

code, if applicable, for anaphylactic shock (T78.2)

Excludes2 inherited from the categories above T63.4

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 T63.4

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

W57Bitten or stung by nonvenomous insect and other nonvenomous arthropods
W57.XXXABitten or stung by nonvenomous insect and other nonvenomous arthropods, initial encounter
W57.XXXDBitten or stung by nonvenomous insect and other nonvenomous arthropods, subsequent encounter
W57.XXXSBitten or stung by nonvenomous insect and other nonvenomous arthropods, sequela
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

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead T63.4

7 child codes. Green means billable.