2026 ICD-10-CM Diagnosis Code T63.94XAToxic effect of contact with unspecified venomous animal, undetermined, initial encounter
T63.94XA is a billable ICD-10-CM diagnosis code for toxic effect of contact with unspecified venomous animal, undetermined, 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, undetermined; and Toxic effects, initial encounter.
Code Identity
Code Classification
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 |
|---|---|---|---|---|---|---|
| Venom, venomous (bite) (sting) | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::amphibian NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::animal NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::ant | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::arthropod NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::bee | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::centipede | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::fish | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::frog | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::hornet | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::insect NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::lizard | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::marine | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::marine::animals | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::marine::animals::bluebottle | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::marine::animals::jellyfish NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::marine::animals::Portuguese Man-o-war | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::marine::animals::sea anemone | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::marine::animals::specified NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::marine::fish | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::marine::plants | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::marine::sting ray | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::millipede (tropical) | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::plant NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::plant NEC::marine | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::reptile | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::reptile::gila monster | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::reptile::lizard NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::scorpion | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::snake | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::snake::African NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::snake::American (North) (South) NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::snake::Asian | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::snake::Australian | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::snake::cobra | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::snake::coral snake | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::snake::rattlesnake | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::snake::specified NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::snake::taipan | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::specified NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::spider | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::spider::black widow | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::spider::brown recluse | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::spider::specified NEC | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::spider::tarantula | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::sting ray | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::toad | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
| Venom, venomous (bite) (sting)::wasp | T63.91 | T63.92 | T63.93 | T63.94 | – | – |
Patient EducationClinical
Poisoning
A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert T63.94XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T63.94XAOverview
Is T63.94XA a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report toxic effect of contact with unspecified venomous animal, undetermined, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T63.94XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for toxic effect of contact with unspecified venomous animal, undetermined, such as an emergency visit or first evaluation.
What MS-DRG does T63.94XA group to?
When toxic effect of contact with unspecified venomous animal, undetermined, 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 T63.94XA?
Under the General Equivalence Mappings, toxic effect of contact with unspecified venomous animal, undetermined, initial encounter converts to ICD-9-CM 989.5 (toxic effect venom) and E980.9 (undeter pois-sol/liq 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.
