2024 ICD-10-CM Diagnosis Code T78.1XXD
Other adverse food reactions, not elsewhere classified, subsequent encounter
- ICD-10-CM Code:
- T78.1XXD
- ICD-10 Code for:
- Oth adverse food reactions, not elsewhere classified, subs
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
T78.1XXD is a billable diagnosis code used to specify a medical diagnosis of other adverse food reactions, not elsewhere classified, subsequent encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
T78.1XXD is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like other adverse food reactions not elsewhere classified. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Adverse drug interaction
- Adverse medication interaction with food
- Adverse reaction to chewing gum additive
- Adverse reaction to fig
- Adverse reaction to food
- Adverse reaction to food additive
- Allergic angioedema
- Allergic angioedema
- Allergic angioedema due to ingested food
- Allergic bronchospasm caused by dietary substance
- Allergic reaction caused by egg protein
- Allergic reaction caused by fish
- Allergic reaction caused by food additive
- Allergic reaction caused by fruit
- Allergic reaction caused by peanut
- Allergic reaction caused by seafood
- Allergic reaction caused by seed
- Allergic reaction caused by shellfish
- Allergic reaction caused by tree nut
- Allergic reaction to food
- Allergic urticaria due to ingested food
- Allergy to food
- Bronchospasm
- Enteral and supplement feeds adverse reaction
- Food-induced angioedema-urticaria
- Hypersensitivity reaction caused by food
- Medication interaction with food
- Non-allergic hypersensitivity reaction caused by sulfite
Clinical Classification
Clinical Category is Allergic reactions, subsequent encounter
- CCSR Category Code: INJ067
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Bronchospasm
sudden contraction of the smooth muscles of the bronchial wall.Bronchospasm, CTCAE|Bronchospasm|Bronchospasm
a disorder characterized by a sudden contraction of the smooth muscles of the bronchial wall.Exercise-Induced Bronchospasm|Exercise induced bronchospasm
sudden contraction of the smooth muscles of the bronchial wall that occurs during or following exercise.Grade 1 Bronchospasm, CTCAE|Grade 1 Bronchospasm
mild symptoms; intervention not indicatedGrade 2 Bronchospasm, CTCAE|Grade 2 Bronchospasm
symptomatic; medical intervention indicated; limiting instrumental adlGrade 3 Bronchospasm, CTCAE|Grade 3 Bronchospasm
limiting self care adl; supplemental oxygen indicatedGrade 4 Bronchospasm, CTCAE|Grade 4 Bronchospasm
life-threatening respiratory or hemodynamic compromise; intubation or urgent intervention indicatedGrade 5 Bronchospasm, CTCAE|Grade 5 Bronchospasm
death
Coding Guidelines
The appropriate 7th character is to be added to each code from block Adverse effects, not elsewhere classified (T78). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Present on Admission (POA)
T78.1XXD is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
| POA Indicator | Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert T78.1XXD to ICD-9-CM
- ICD-9-CM Code: V58.89 - Other specfied aftercare
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
Patient Education
Food Allergy
Food allergy is an abnormal response to a food triggered by your body's immune system.
In adults, the foods that most often trigger allergic reactions include fish, shellfish, peanuts, and tree nuts, such as walnuts. Problem foods for children can include eggs, milk, peanuts, tree nuts, soy, and wheat.
The allergic reaction may be mild. In rare cases it can cause a severe reaction called anaphylaxis. Symptoms of food allergy include:
- Itching or swelling in your mouth
- Vomiting, diarrhea, or abdominal cramps and pain
- Hives or eczema
- Tightening of the throat and trouble breathing
- Drop in blood pressure
Your health care provider may use a detailed history, elimination diet, and skin and blood tests to diagnose a food allergy.
When you have food allergies, you must be prepared to treat an accidental exposure. Wear a medical alert bracelet or necklace, and carry an auto-injector device containing epinephrine (adrenaline).
You can only prevent the symptoms of food allergy by avoiding the food. After you and your health care provider have identified the foods to which you are sensitive, you must remove them from your diet.
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.