2025 ICD-10-CM code T63.411
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury, poisoning and certain other consequences of external causes - Toxic effects of substances chiefly non-medicinal as to source Chapter 19: Injury, poisoning and certain other consequences of external causes Feed
Toxic effect of venom from centipedes and venomous millipedes, accidental (unintentional).
Modifiers may be applicable depending on the circumstances of the encounter (e.g., initial vs. subsequent encounter).Consult the most up-to-date coding guidelines.
Medical necessity for treatment is determined by the severity of the patient's symptoms and the potential for serious complications.Factors such as systemic toxicity, presence of significant local reactions, and contraindications to treatment must be considered.
The clinical responsibility involves evaluating the patient's symptoms, administering appropriate treatment (e.g., antivenom, supportive care), monitoring for complications, and documenting the course of treatment.Depending on the severity, this may involve emergency medicine physicians, toxicologists, or other specialists.
- Chapter 19: Injury, poisoning and certain other consequences of external causes
- T63.411 is within the broader category of toxic effects of substances chiefly non-medicinal as to source (T51-T65) within Chapter 19.
In simple words: This code is used when someone is accidentally poisoned by the venom of a centipede or venomous millipede.It's for cases where the poisoning wasn't intentional.
This code classifies the toxic effects resulting from accidental exposure to the venom of centipedes and venomous millipedes.The injury must be unintentional.Additional codes may be necessary to specify associated manifestations of the toxic effect, such as respiratory complications.A secondary code from Chapter 20 (External causes of morbidity) should be used to specify the cause of the injury.If a foreign body is retained, an additional code from category Z18.- should be used.
Example 1: A hiker is bitten by a centipede while hiking in a wooded area.The patient presents with localized pain, swelling, and erythema at the bite site, along with systemic symptoms such as nausea, vomiting, and dizziness. , A child playing in the backyard accidentally touches a venomous millipede, resulting in localized pain and swelling.The child's parent brings them to the urgent care clinic for evaluation., A landscaper working in a garden is bitten on the hand by a centipede.The patient experiences severe pain, swelling, and numbness, requiring immediate medical attention and possibly antivenom treatment in a hospital setting.
Detailed history of the event, including the type of arthropod involved, time of exposure, and location of the bite or contact.Complete physical exam documenting the bite site (location, size, appearance), along with any systemic symptoms.Results of any laboratory tests performed (e.g., complete blood count, coagulation studies).Detailed documentation of treatment administered, response to treatment, and patient's overall outcome.
** The severity of envenomation varies widely, depending on several factors including the species of arthropod, the amount of venom injected, and the patient's individual sensitivity. Always review the latest official ICD-10-CM guidelines for any updates or changes.
- Payment Status: Active
- Specialties:Emergency Medicine, Toxicology, Family Medicine
- Place of Service:Office, Urgent Care Facility, Emergency Room - Hospital, Inpatient Hospital