2026 ICD-10-CM Diagnosis Code T78.120AOther adverse food reaction due to egg with tolerance to baked egg, initial encounter
T78.120A is a billable ICD-10-CM diagnosis code for other adverse food reaction due to egg with tolerance to baked egg, 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 922 through 923. The code is not accepted as a principal diagnosis by the Medicare Code Editor.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for T78.120A.
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.
Code History & ChangesHistory
New Code T78.120A was added to the ICD-10-CM code set for FY 2026, effective October 1, 2025.
Replacement T78.120A replaces the following previously assigned code(s):
- T78.1XXA - Oth adverse food reactions, not elsewhere classified, init
Questions About T78.120AOverview
Is T78.120A a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other adverse food reaction due to egg with tolerance to baked egg, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T78.120A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for other adverse food reaction due to egg with tolerance to baked egg, such as an emergency visit or first evaluation.
What MS-DRG does T78.120A group to?
On inpatient claims, other adverse food reaction due to egg with tolerance to baked egg, initial encounter maps to MS-DRG 922, 923, with relative weights from 1.0177 to 1.7494 depending on complications. Higher weights mean higher Medicare reimbursement.
Can T78.120A be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because other adverse food reaction due to egg with tolerance to baked egg, initial encounter describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
