ICDcodes.org
FY2027

T63.114AToxic effect of venom of gila monster, undetermined, initial encounter

Billable

Is T63.114A billable?

Yes — T63.114A is billable for FY2027. T63.114A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T63.114A may be submitted for encounters from October 1, 2026 through September 30, 2027.

T63.114A at a glance

CodeT63.114A
DescriptionToxic effect of venom of gila monster, undetermined, 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 T63.114A?

In T63.114A, the 7th character A means initial encounter. The 7th character is required for T63.114A to be a valid, complete code.

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

Which MS-DRGs does T63.114A group to?

T63.114A 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

Excludes1 — never code together — inherited from T51-T65

The conditions below can never be reported together with T63.114A 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.-)

Use additional code — inherited from Chapter 19

Report an additional code alongside T63.114A to fully describe the condition. T63.114A 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 T63.114A to fully describe the condition. T63.114A 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 T63.114A, but a patient may have both at the same time. When documentation supports it, T63.114A and the excluded code may both be reported.

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

Excludes2 — not included here — inherited from T63

The conditions below are not part of T63.114A, but a patient may have both at the same time. When documentation supports it, T63.114A and the excluded code may both be reported.

How long has T63.114A existed?

T63.114A 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.