2026 ICD-10-CM Diagnosis Code T78.19XD

Other adverse food reactions, not elsewhere classified, subsequent encounter

ICD-10-CM Code:
T78.19XD
ICD-10 Code for:
Other adverse food reactions, NEC, subsequent encounter
Is Billable?
Yes - Valid for Submission
Code Navigator:

T78.19XD 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, 2025 through September 30, 2026. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

T78.19XD 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.

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    S00–T88
    • Other and unspecified effects of external causes
      T66-T78
      • Adverse effects, not elsewhere classified
        T78

Approximate Synonyms

The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.

  • Adverse drug interaction
  • Adverse medication interaction with food
  • Adverse reaction caused by monosodium glutamate
  • 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 fish
  • Allergic reaction caused by food additive
  • Allergic reaction caused by fruit
  • Allergic reaction caused by mollusk
  • 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 caused by ingested food
  • Allergy to food
  • Bronchospasm
  • Enteral and supplement feeds adverse reaction
  • Food-induced angioedema-urticaria
  • Headache caused by monosodium glutamate
  • Hypersensitivity reaction caused by food
  • Intolerance to monosodium glutamate
  • Medication interaction with food
  • Non-allergic hypersensitivity reaction caused by sulfite

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 or narrowing of the airway. may be manifested as wheezing.
  • 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 indicated
  • Grade 2 Bronchospasm, CTCAE|Grade 2 Bronchospasm

    symptomatic; medical intervention indicated; limiting instrumental adl or mild/moderate impact on age-appropriate normal daily activity (pediatric)
  • Grade 3 Bronchospasm, CTCAE|Grade 3 Bronchospasm

    supplemental oxygen indicated; limiting self-care adl or severe impact on age-appropriate normal daily activity (pediatric)
  • Grade 4 Bronchospasm, CTCAE|Grade 4 Bronchospasm

    life-threatening respiratory or hemodynamic compromise; intubation or urgent intervention indicated
  • Grade 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

New 2026 ICD-10-CM Code

T78.19XD is new to ICD-10-CM code set for the FY 2026, effective October 1, 2025. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2025. This is a new and revised code for the FY 2026 (October 1, 2025 - September 30, 2026).

Code Edits

The Medicare Code Editor (MCE) detects errors and inconsistencies in ICD-10-CM diagnosis coding that can affect Medicare claim validity. These Medicare code edits help medical coders and billing professionals determine when a diagnosis code is not appropriate as a principal diagnosis, does not meet coverage criteria. Use this list to verify whether a code is valid for Medicare billing and to avoid claim rejections or denials due to diagnosis coding issues.

Unacceptable principal diagnosis

There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)

T78.19XD 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: Y

Reason: Diagnosis was present at time of inpatient admission.

CMS Pays CC/MCC DRG? YES

POA Indicator: N

Reason: Diagnosis was not present at time of inpatient admission.

CMS Pays CC/MCC DRG? NO

POA Indicator: U

Reason: Documentation insufficient to determine if the condition was present at the time of inpatient admission.

CMS Pays CC/MCC DRG? NO

POA Indicator: W

Reason: Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.

CMS Pays CC/MCC DRG? YES

POA Indicator: 1

Reason: Unreported/Not used - Exempt from POA reporting.

CMS Pays CC/MCC DRG? NO

Replacement Code

T7819XD replaces the following previously assigned ICD-10-CM code(s):

  • T78.1XXD - Oth adverse food reactions, not elsewhere classified, subs

Code History

  • FY 2026 - Code Added, effective from 10/1/2025 through 9/30/2026