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T78.04 ICD-10-CM Code: Anaphylactic reaction due to fruits and vegetables

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Other and unspecified effects of external causes (T66-T78)

T78.04

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Anaphylactic reaction due to fruits and vegetables

Anaphylactic reaction due to fruits and vegetables

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
T78Adverse effects, not elsewhere classified
T78.0Anaphylactic reaction due to food
T78.04Anaphylactic reaction due to fruits and vegetables

Inclusion Terms

Official
  • Anaphylactic reaction due to adverse food reaction
  • Anaphylactic shock or reaction due to nonpoisonous foods
  • Anaphylactoid reaction due to food

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for T78.04 in this effective period.

Related Child Codes

Official
T78.00Anaphylactic reaction due to unspecified food
T78.01Anaphylactic reaction due to peanuts
T78.02Anaphylactic reaction due to shellfish (crustaceans)
T78.03Anaphylactic reaction due to other fish
T78.05Anaphylactic reaction due to tree nuts and seeds

Includes

Official

ICD-10-CM does not list Includes notes for T78.04 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for T78.04 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for T78.04 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for T78.04 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for T78.04 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

T78.04 is the ICD-10-CM diagnosis code for anaphylactic reaction due to fruits and vegetables. T78.04 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering other and unspecified effects of external causes (t66-t78).

Header codes like T78.04 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at T78.04's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for T78.04 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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