T78.11
T78.11: Other adverse food reactions due to milk and dairy products
Non-billable headerICD-10-CM
T78.11 is a non-billable header ICD-10-CM code for other adverse food reactions due to milk and dairy products. 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 T78
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above T78.11
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above T78.11
Not part of this code, but both may be coded when both are present.
Written on T78.1: Other adverse food reactions, not elsewhere classified
Other codes that can never be billed with T78.11
Their own Excludes1 notes name this code, so the conflict is not listed above.
- T78.110Other adverse food reactions due to milk and dairy products with tolerance to baked milk
- T78.110AOther adverse food reactions due to milk and dairy products with tolerance to baked milk, initial encounter
- T78.110DOther adverse food reactions due to milk and dairy products with tolerance to baked milk, subsequent encounter
- T78.110SOther adverse food reactions due to milk and dairy products with tolerance to baked milk, sequela
- T78.111Other adverse food reaction due to milk and dairy products with reactivity to baked milk
- T78.111AOther adverse food reaction due to milk and dairy products with reactivity to baked milk, initial encounter
- T78.111DOther adverse food reaction due to milk and dairy products with reactivity to baked milk, subsequent encounter
- T78.111SOther adverse food reaction due to milk and dairy products with reactivity to baked milk, 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 T78.11
3 child codes. Green means billable.
- T78.110Other adverse food reactions due to milk and dairy products with tolerance to baked milk
- T78.111Other adverse food reaction due to milk and dairy products with reactivity to baked milk
- T78.119Other adverse food reaction due to milk and dairy products with baked milk tolerance/reactivity, unspecified