2027 ICD-10-CM Diagnosis Code T78.05XSAnaphylactic reaction due to tree nuts and seeds, sequela

ICD-10-CM Codes›S00–T88›T66-T78›T78

ICD-10-CM T78.05XS
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

T78.05XS is a billable ICD-10-CM diagnosis code for anaphylactic reaction due to tree nuts and seeds, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 922 through 923. The code is exempt from POA reporting. Coders also document this condition as allergic reaction caused by seed. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.

Code Identity

ICD-10-CM Code
T78.05XS
Billable Status
Yes — Valid for Submission
Code Describes
Anaphylactic reaction due to tree nuts and seeds, sequela
Short Description
Anaphylactic reaction due to tree nuts and seeds, sequela
Same as the full description in the CMS dataset.
Parent Code
T78.05
Anaphylactic reaction due to tree nuts and seeds

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT66-T78Other and unspecified effects of external causes
CategoryT78Adverse effects, not elsewhere classified
This CodeT78.05XSAnaphylactic reaction due to tree nuts and seeds, sequela

Present on Admission (POA)Billing

T78.05XS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Other and unspecified effects of external causes (T66-T78).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Allergic reaction caused by seed
  • Allergic reaction caused by tree nut
  • Anaphylaxis caused by seed
  • Anaphylaxis caused by tree nut

Coding GuidelinesGuidance

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 applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to T78.05XS: its own notes plus those printed at T78.05, T78, block T66-T78, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From T78.05 Anaphylactic reaction due to tree nuts and seeds applies to 3 codes
  • anaphylactic reaction due to peanuts (T78.01)
From T78 Adverse effects, not elsewhere classified applies to 81 codes
  • complications of surgical and medical care NEC (T80-T88)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From Block T66-T78 Other and unspecified effects of external causes applies to 456 codes
  • if applicable, place of occurrence, such as:
  • highway rest stop (Y92.523)
  • school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)
  • service areas as the place of occurrence of the external cause (Y92.52-)
  • single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-)
  • transport vehicle as the place of occurrence of the external cause (Y92.81-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From T78 Adverse effects, not elsewhere classified applies to 81 codes
  • The appropriate 7th character is to be added to each code from category T78
Values for category T78 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela this code

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name T78.05XS, its category, or a range that includes it.

Excludes1 9

These codes carry an Excludes1 note naming T78.05XS: they are not reported together with it, unless the two conditions are unrelated.

  • R57 Shock, not elsewhere classified
    anaphylactic reaction or shock due to adverse food reaction (T78.0-) names T78.0-, which includes this code
  • T61 Toxic effect of noxious substances eaten as seafood
    anaphylactic reaction or shock due to adverse food reaction (T78.0-) names T78.0-, which includes this code
  • T62 Toxic effect of other noxious substances eaten as food
    anaphylactic shock (reaction) due to adverse food reaction (T78.0-) names T78.0-, which includes this code
  • T75 Other and unspecified effects of other external causes
    adverse effects NEC (T78.-) names T78.-, which includes this code
  • T78.1 Other adverse food reactions, not elsewhere classified
    anaphylactic reaction or shock due to adverse food reaction (T78.0-) names T78.0-, which includes this code
  • T78.1 Other adverse food reactions, not elsewhere classified
    anaphylactic reaction due to food (T78.0-) names T78.0-, which includes this code
  • T78.2 Anaphylactic shock, unspecified
    anaphylactic reaction or shock due to adverse food reaction (T78.0-) names T78.0-, which includes this code
  • T79.4 Traumatic shock
    anaphylactic shock due to adverse food reaction (T78.0-) names T78.0-, which includes this code
  • T88.6 Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered
    anaphylactic shock or reaction due to adverse food reaction (T78.0-) names T78.0-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming T78.05XS: its condition is not part of those codes, and both may be reported when the patient has both.

  • L27 Dermatitis due to substances taken internally
    adverse food reaction, except dermatitis (T78.0-T78.1) names T78.0-T78.1, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ073
Injury, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Anaphylaxis

Anaphylaxis is a serious allergic reaction. It can begin very quickly, and symptoms may be life-threatening. The most common causes are reactions to foods (especially peanuts), medications, and stinging insects. Other causes include exercise and exposure to latex. Sometimes no cause can be found.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert T78.05XS to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
909.9 Late eff exter cause NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About T78.05XSOverview

What is the ICD-10 code for anaphylactic reaction due to tree nuts and seeds, sequela?

The ICD-10-CM code for anaphylactic reaction due to tree nuts and seeds, sequela is T78.05XS (sometimes written as T7805XS). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is T78.05XS (Anaphylactic reaction due to tree nuts and seeds) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report anaphylactic reaction due to tree nuts and seeds, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character S in T78.05XS mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the anaphylactic reaction due to tree nuts and seeds itself has resolved, not the original event.

What MS-DRG does T78.05XS group to?

When anaphylactic reaction due to tree nuts and seeds, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 923, 922, with relative weights from 0.9980 to 1.6248 depending on complications. Higher weights mean higher Medicare reimbursement.

Is T78.05XS 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 anaphylactic reaction due to tree nuts and seeds, sequela on inpatient claims. The code appears in the Other and unspecified effects of external causes (T66-T78) range of the CMS exempt list.