ICDcodes.org
FY2027

T61.02XACiguatera fish poisoning, intentional self-harm, initial encounter

Billable

Is T61.02XA billable?

Yes — T61.02XA is billable for FY2027. T61.02XA is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T61.02XA may be submitted for encounters from October 1, 2026 through September 30, 2027.

T61.02XA at a glance

CodeT61.02XA
DescriptionCiguatera fish poisoning, intentional self-harm, initial encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "A"initial encounter

What does the 7th character "A" mean in T61.02XA?

In T61.02XA, the 7th character A means initial encounter. The 7th character is required for T61.02XA to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does T61.02XA group to?

T61.02XA sits in MDC 21 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 917Poisoning and Toxic Effects of Drugs with MCCmedical
  • 918Poisoning and Toxic Effects of Drugs without MCCmedical

How is T61.02XA listed in the Alphabetic Index?

The Alphabetic Index lists these routes under T61.0, the nearest indexed parent of T61.02XA. Use them to find the family, then select the specific code.

  • Poisoningciguatera fish (acute)

Excludes1 — never code together — inherited from T51-T65

The conditions below can never be reported together with T61.02XA on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • contact with and (suspected) exposure to toxic substances (Z77.-)

Excludes1 — never code together — inherited from T61

The conditions below can never be reported together with T61.02XA on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • allergic reaction to food, such as:
  • anaphylactic reaction or shock due to adverse food reaction (T78.0-)
  • bacterial foodborne intoxications (A05.-)
  • dermatitis (L23.6, L25.4, L27.2)
  • food protein-induced enterocolitis syndrome (K52.21)
  • food protein-induced enteropathy (K52.22)
  • gastroenteritis (noninfective) (K52.29)
  • toxic effect of aflatoxin and other mycotoxins (T64)
  • toxic effect of cyanides (T65.0-)
  • toxic effect of harmful algae bloom (T65.82-)
  • toxic effect of hydrogen cyanide (T57.3-)
  • toxic effect of mercury (T56.1-)
  • toxic effect of red tide (T65.82-)

Use additional code — inherited from Chapter 19

Report an additional code alongside T61.02XA to fully describe the condition. T61.02XA is sequenced first.

  • code to identify any retained foreign body, if applicable (Z18.-)

Use additional code — inherited from T51-T65

Report an additional code alongside T61.02XA to fully describe the condition. T61.02XA is sequenced first.

  • code(s):
  • for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
  • personal history of foreign body fully removed (Z87.821)
  • to identify any retained foreign body, if applicable (Z18.-)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of T61.02XA, but a patient may have both at the same time. When documentation supports it, T61.02XA and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

How long has T61.02XA existed?

T61.02XA has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.