ICD-10 Y63
Non-Billable HeaderFailure in dosage during surgical and medical care
About ICD-10-CM Y63
ICD-10-CM code Y63 represents Failure in dosage during surgical and medical care. This is a non-billable header code in the External Causes of Morbidity chapter (block Y63). The 2026 edition of ICD-10-CM Y63 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 2 Excludes
Not included here, the excluded code is not part of Y63, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- accidental overdose of drug or wrong drug given in error (T36-T50)
Medicare LCD Coverage for Y63
Local Coverage Determinations (LCDs) from CMS MACs that list Y63 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Y63.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Y63 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Y63
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Y63
Other codes in section Y62-Y69 (Misadventures to patients during surgical and medical care).
ICD-10 Y63, Billing FAQ
Is ICD-10 code Y63 billable? +
No, Y63 is a non-billable header code. Use a more specific child code from block Y63 when submitting claims.
What codes are Type 2 Excludes for Y63? +
Type 2 Excludes (may be coded together when both conditions exist): accidental overdose of drug or wrong drug given in error (T36-T50)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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