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ICD-10 Guide
ICD-10 CodesChapter 19: Injury, poisoning and other consequences of external causesT63

T63

Non-billable

Toxic effect of contact with venomous animals and plants

Chapter 19:Injury, poisoning and other consequences of external causes

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 T63 is a used to indicate a diagnosis of toxic effect of contact with venomous animals and plants.

Key Diagnostic Point:

The T63 category in the ICD-10 coding system pertains to the toxic effects resulting from contact with venomous animals and plants. This includes a variety of conditions that arise from bites, stings, or contact with organisms such as snakes, spiders, insects, and certain plants known to produce toxic reactions. The clinical significance of this category lies in its ability to capture a range of symptoms and reactions that can vary from mild local irritation to severe systemic reactions, including anaphylaxis. Proper coding is essential for accurate diagnosis and treatment, as well as for tracking epidemiological trends related to venomous encounters.

  • Clinicians should be aware that the T63 codes are used when documenting cases of toxicity that are directly linked to venomous animal or plant exposure. This category is crucial for ensuring that patients receive appropriate care and that healthcare providers are reimbursed for the treatment of these potentially life-threatening conditions. Usage guidelines emphasize the importance of specificity in coding to reflect the exact nature of the exposure and the resultant clinical manifestations, which can aid in effective management and prevention strategies in the future.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of venomous species
  • Range of clinical presentations
  • Need for specificity in coding

Audit Risk Factors

  • Inconsistent documentation
  • Misclassification of exposure
  • Failure to specify type of venomous agent

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Toxicology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The T63 code category has significant clinical and administrative implications in healthcare. Clinically, accurate coding ensures that patients receive appropriate treatment for potentially life-threatening conditions resulting from venomous encounters. It also aids in the collection of data that can inform public health initiatives aimed at reducing the incidence of such exposures. Administratively, proper use of T63 codes can impact quality measures and performance metrics, as healthcare organizations strive to improve patient outcomes related to toxic exposures.
From a population health perspective, understanding the trends associated with venomous animal and plant encounters can help in developing preventive strategies and educational campaigns. As healthcare systems increasingly focus on data-driven approaches to improve care, the accurate coding of T63-related conditions becomes essential for tracking health outcomes and resource allocation in emergency medicine and toxicology.

ICD-9 vs ICD-10

The T63 code category has significant clinical and administrative implications in healthcare. Clinically, accurate coding ensures that patients receive appropriate treatment for potentially life-threatening conditions resulting from venomous encounters. It also aids in the collection of data that can inform public health initiatives aimed at reducing the incidence of such exposures. Administratively, proper use of T63 codes can impact quality measures and performance metrics, as healthcare organizations strive to improve patient outcomes related to toxic exposures. From a population health perspective, understanding the trends associated with venomous animal and plant encounters can help in developing preventive strategies and educational campaigns. As healthcare systems increasingly focus on data-driven approaches to improve care, the accurate coding of T63-related conditions becomes essential for tracking health outcomes and resource allocation in emergency medicine and toxicology.

Reimbursement & Billing Impact

reimbursement, as payers may scrutinize claims for toxic exposures to ensure that they align with the documented clinical scenario.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for T63

Coding & Billing References

  • •
    Official ICD-10 Guidelines for T63

Frequently Asked Questions

What conditions are included in T63?

T63 includes conditions such as envenomation from snake bites, insect stings, and contact dermatitis from poisonous plants like poison ivy or poison oak.

When should I use T63 codes?

T63 codes should be used when a patient presents with symptoms directly related to exposure to venomous animals or plants, particularly when the exposure is confirmed or suspected.

What documentation is required for T63?

Documentation should include details of the exposure, the type of venomous agent, the symptoms presented, and any treatments administered, as well as follow-up care.