2026 ICD-10-CM Diagnosis Code T63.481AToxic effect of venom of other arthropod, accidental (unintentional), initial encounter
T63.481A is a billable ICD-10-CM diagnosis code for toxic effect of venom of other arthropod, accidental (unintentional), initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 917 through 918. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under External cause codes: bites; initial encounter; External cause codes: intent of injury, accidental/unintentional; and Toxic effects, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Allergic dermatitis caused by bite of Ctenocephalides felis
- Allergic reaction caused by hymenoptera venom
- Allergic reaction to flea bite
- Allergic reaction to insect bite
- Allergic reaction to insect venom
- Anaphylaxis caused by hymenoptera venom
- Anaphylaxis caused by insect bite and/or insect sting
- Anaphylaxis caused by insect venom
- Anaphylaxis caused by venom
- Anemia caused by insect venom
- Bite of tick
- Bite of venomous animal
- Bite of venomous arthropod
- Blister beetle poisoning
- Cutaneous insect bite reaction
- Harara
- Hymenoptera sting
- Insect bite reaction
- Insect sting
- Insect venom-induced neurotoxicity
- Poisoned bite of tick
- Poisoning by Epicauta
- Poisoning by Lophyrotoma interrupta
- Poisoning by sawfly larvae
- Poisoning by striped blister beetle
- Poisoning caused by insect venom
- Poisoning due to bite of tick
- Poisoning due to bite of venomous arthropod
- Poisonous insect bite
- Prurigo simplex
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Toxic effect of contact with venomous animals and plants (T63). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Table of Drugs and ChemicalsClinical
Substances in the Table of Drugs and Chemicals that reference this code family. Always confirm in the Tabular List before coding.
| Substance | Accidental | Self-harm | Assault | Undetermined | Adverse Effect | Underdosing |
|---|---|---|---|---|---|---|
| Arthropod (venomous) NEC | T63.481 | T63.482 | T63.483 | T63.484 | – | – |
| Insect (sting), venomous | T63.481 | T63.482 | T63.483 | T63.484 | – | – |
| Insect (sting), venomous::ant | T63.481 | T63.482 | T63.483 | T63.484 | – | – |
| Insect (sting), venomous::bee | T63.481 | T63.482 | T63.483 | T63.484 | – | – |
| Insect (sting), venomous::caterpillar | T63.481 | T63.482 | T63.483 | T63.484 | – | – |
| Insect (sting), venomous::hornet | T63.481 | T63.482 | T63.483 | T63.484 | – | – |
| Insect (sting), venomous::wasp | T63.481 | T63.482 | T63.483 | T63.484 | – | – |
Patient EducationClinical
Insect Bites and Stings
Most insect bites are harmless, though they sometimes cause discomfort. Bee, wasp, and hornet stings and fire ant bites usually hurt. Mosquito and flea bites usually itch. Insects can also spread diseases. In the United States, some mosquitoes spread West Nile virus.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert T63.481A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T63.481AOverview
Is T63.481A a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report toxic effect of venom of other arthropod, accidental (unintentional), initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T63.481A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for toxic effect of venom of other arthropod, accidental (unintentional), such as an emergency visit or first evaluation.
What MS-DRG does T63.481A group to?
When toxic effect of venom of other arthropod, accidental (unintentional), initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 917, 918, with relative weights from 0.8571 to 1.5684 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of T63.481A?
Under the General Equivalence Mappings, toxic effect of venom of other arthropod, accidental (unintentional), initial encounter converts to ICD-9-CM 989.5 (toxic effect venom) and E905.5 (venomous arthropods NEC). The mapping is approximate, so confirm the match fits the documentation.
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.
