ICD-10-CM Billable Code

Z91.013

Allergy to seafood

Clinical Classification Guidelines

Inclusion Terms

  • Allergy to shellfish
  • Allergy to octopus or squid ink

Medical Intelligence & Overview

Seafood allergies are immune system reactions to certain proteins found in fish and shellfish. These allergies can develop at any age and may cause severe health reactions. The ICD-10 code Z91.013 is used to classify a documented allergy to seafood, including shellfish, octopus, and squid ink. Recognizing seafood allergies is crucial for managing dietary choices and preventing accidental exposure, which could lead to serious health consequences.

Causes & Symptoms

Clinical Causes: Genetic predisposition to allergies Sensitization through previous consumption of seafood Cross-reactivity among different types of seafood Environmental exposure to seafood proteins, such as in restaurants or markets

Key Symptoms: Hives or skin rashes Swelling of the face, lips, tongue, or throat Difficulty breathing or wheezing Stomach pain, nausea, vomiting, or diarrhea Anaphylaxis in severe cases, which can be life-threatening

Diagnostic & Treatment

Diagnosis Path: Diagnosis usually involves a combination of medical history, physical examination, and allergy testing. Skin prick tests or blood tests (such as specific IgE tests) help identify seafood allergies. In some cases, an oral food challenge under medical supervision may be performed to confirm the allergy and assess severity.

Treatment Protocols: Management primarily focuses on avoiding the allergenic seafood. Patients are advised to read food labels carefully and inquire about ingredients when dining out. Emergency medications, such as antihistamines and epinephrine auto-injectors, are recommended for immediate treatment of accidental exposures or severe reactions. Allergy education and an emergency action plan are essential components of treatment.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is Z91.013 a billable ICD-10 code?
Yes, Z91.013 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report Z91.013?
Clinical documentation must specify the nature of Allergy to seafood and any associated comorbidities for accurate reporting.

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