2026 ICD-10-CM Diagnosis Code T78.09XAAnaphylactic reaction due to other food products, initial encounter

ICD-10-CM CodesS00–T88T66-T78T78

ICD-10-CM T78.09XA
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T78.09XA is a billable ICD-10-CM diagnosis code for anaphylactic reaction due to other food products, 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 915 through 916. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Allergic reactions.

Code Identity

ICD-10-CM Code
T78.09XA
Billable Status
Yes — Valid for Submission
Code Describes
Anaphylactic reaction due to other food products, initial encounter
Short Description
Anaphylactic reaction due to oth food products, init encntr
Parent Code
Anaphylactic reaction due to other food products

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 CodeT78.09XAAnaphylactic reaction due to other food products, initial encounter

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 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

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

CCSR INJ031
Allergic reactions
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 T78.09XA to ICD-9-CMHistory

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

ICD-9-CM
995.69 Anphyl react oth sp food
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T78.09XAOverview

Is T78.09XA (Anaphylactic reaction due to other food products) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report anaphylactic reaction due to other food products, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in T78.09XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for anaphylactic reaction due to other food products, such as an emergency visit or first evaluation.

What MS-DRG does T78.09XA group to?

When anaphylactic reaction due to other food products, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 915, 916, with relative weights from 0.6663 to 1.6816 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of T78.09XA?

Under the General Equivalence Mappings, anaphylactic reaction due to other food products, initial encounter converts to ICD-9-CM 995.69 (anphyl react oth sp food). 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.