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ICD-10-CM 2027 diagnosis code

T63.613AToxic effect of contact with Portuguese Man-o-war, assault, initial encounter

✓ Billable / specificRequires 7th character

T63.613A is a valid, billable ICD-10-CM code for toxic effect of contact with portuguese man-o-war, assault, initial encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Toxic effect of cntct with Portuguese Man-o-war, asslt, init

Code last changed in FY2022 (effective October 1, 2021). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About T63.613A

T63.613A is the ICD-10-CM diagnosis code for toxic effect of contact with Portuguese Man-o-war, assault, initial encounter. It belongs to category T63 (toxic effect of contact with venomous animals and plants), block T51-T65 (toxic effects of substances chiefly nonmedicinal as to source) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "A" means initial encounter: use it while the patient is receiving active treatment for the condition.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 917 (Poisoning and Toxic Effects of Drugs with MCC, relative weight 1.57) and DRG 918 (Poisoning and Toxic Effects of Drugs without MCC, relative weight 0.872), in MDC 21 (Injuries, Poisonings and Toxic Effects of Drugs), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015, and changed in FY2022 (title revised).

Before ICD-10, this condition was coded in ICD-9-CM as 989.5 (toxic effect of venom) and E962.1 (assault by other solid and liquid substances).

7th character

Ainitial encounter

Other encounter types for T63.613:

Notes that apply from higher levels

Instructions written at a parent level also apply to T63.613A.

› From T63.6 Toxic effect of contact with other venomous marine animals
Excludes1
Excludes2
  • poisoning by ingestion of shellfish (T61.78-)
› From T63 Toxic effect of contact with venomous animals and plants
Includes
  • bite or touch of venomous animal
  • pricked or stuck by thorn or leaf
Excludes2
  • ingestion of toxic animal or plant (T61.-, T62.-)

Broader instructions also apply from T51-T65 Toxic effects of substances chiefly nonmedicinal as to source and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 989.5Toxic effect of venomapproximate, combination
  • E962.1Assault by other solid and liquid substancesapproximate, combination

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • FY2022 (effective 10/1/2021): Title revised — was “Toxic effect of contact with Portugese Man-o-war, assault, initial encounter”

Common questions about T63.613A

Is T63.613A billable?

Yes. T63.613A is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "A" at the end of T63.613A mean?

It is the 7th character for initial encounter. Per the official guidelines, use it while the patient is receiving active treatment for the condition.

Can T63.613A be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict T63.613A as a principal diagnosis.

Is T63.613A a CC or MCC?

No. T63.613A is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does T63.613A group to?

T63.613A is used in the MS-DRG v44.0 logic for MS-DRG 917 (Poisoning and Toxic Effects of Drugs with MCC) and MS-DRG 918 (Poisoning and Toxic Effects of Drugs without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for T63.613A?

The CMS General Equivalence Mappings map T63.613A to ICD-9-CM 989.5 and E962.1.