2026 ICD-10-CM Diagnosis Code T63.481SToxic effect of venom of other arthropod, accidental (unintentional), sequela
T63.481S is a billable ICD-10-CM diagnosis code for toxic effect of venom of other arthropod, accidental (unintentional), sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 922 through 923. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Poisoning/toxic effect/adverse effects/underdosing, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
T63.481S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
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 T63.481S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T63.481SOverview
Is T63.481S 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), sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in T63.481S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the toxic effect of venom of other arthropod, accidental (unintentional) itself has resolved, not the original event.
What MS-DRG does T63.481S group to?
When toxic effect of venom of other arthropod, accidental (unintentional), sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 922, 923, with relative weights from 1.0177 to 1.7494 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T63.481S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for toxic effect of venom of other arthropod, accidental (unintentional), sequela on inpatient claims.
What is the ICD-9 equivalent of T63.481S?
Under the General Equivalence Mappings, toxic effect of venom of other arthropod, accidental (unintentional), sequela converts to ICD-9-CM 909.1 (late eff nonmed substanc) and E929.2 (late eff acc poisoning). 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.
