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Home/Diagnosis/ICD-10 Coding for Allergic Reaction

ICD-10 Coding for Allergic Reaction

T36.0X5A
T78.0XXA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for allergic reaction includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Hypersensitivity Reaction
Allergy
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Key Information: ICD-10 Coding for Allergic Reaction

Essential facts and insights about ICD-10 Coding for Allergic Reaction

Use ICD-10 code T36.0X5A for adverse effect of penicillin, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Adverse effect of penicillin

Billable Code
T36.0X5A
Billable

Diagnostic Criteria

  • • Presence of symptoms following penicillin administration

Applicable To

  • • Adverse effect of penicillin properly administered

Important Notes

  • • Ensure proper sequencing of symptom codes before the adverse effect code.

Anaphylactic reaction due to food

Non-Billable
T78.0XXA
Non-Billable

Applicable To

  • • Anaphylactic shock due to food

Important Notes

  • • Document specific allergen and reaction details.
Ancillary Codes

Additional codes that may be used with this diagnosis

L50.0

Allergic urticaria

Use to specify urticaria as a symptom of the allergic reaction.

R60.0

Localized edema

Use to specify edema as a symptom of the allergic reaction.

Frequently Asked Questions

What is the ICD-10 code for an allergic reaction?

The ICD-10 code for an allergic reaction varies based on the allergen and reaction type, such as T36.0X5A for adverse effects of penicillin or T78.0XXA for anaphylactic reactions to food.

How do you code anaphylaxis in ICD-10?

Anaphylaxis is coded using T78.0XXA for food-related reactions or T88.6XXA for drug-related reactions, with specific documentation of the allergen and symptoms.

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