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Home/Diagnosis/ICD-10 Coding for Unspecified Allergies

ICD-10 Coding for Unspecified Allergies

T78.40XA

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

Also Known as:
Allergy, unspecified
Unknown allergy
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Key Information: ICD-10 Coding for Unspecified Allergies

Essential facts and insights about ICD-10 Coding for Unspecified Allergies

Use ICD-10 code T78.40XA for allergy, unspecified, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Allergy, unspecified, initial encounter

Billable Code
T78.40XA
Billable

Diagnostic Criteria

clinical:
  • • Acute onset of allergic symptoms with no identifiable trigger
coding:
  • • Initial encounter for acute allergic reaction
documentation:
  • • Explicit documentation of unknown allergen

Applicable To

  • • Acute allergic reaction with unknown trigger

Important Notes

  • • Ensure acute symptoms are documented and the trigger remains unknown at the time of coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

R21

Rash

Use alongside T78.40XA to document rash as a symptom of the allergic reaction.

T78.3XXA

Angioedema

Use when angioedema is present as part of the allergic reaction.

Frequently Asked Questions

When should T78.40XA be used?

T78.40XA should be used for acute allergic reactions with unknown triggers during the initial encounter. Ensure documentation includes acute symptoms and explicitly states the unknown trigger.

What are the documentation requirements for T78.40XA?

Document acute symptoms and the absence of a known trigger to support the use of T78.40XA. This ensures accurate coding and compliance.

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