T26.21XA
T26.21XA — Burn with resulting rupture and destruction of right eyeball, initial encounter
Billable / specific codeICD-10-CMright
T26.21XA is a billable, specific ICD-10-CM code for burn with resulting rupture and destruction of right eyeball, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category T26
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T26.21XA does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
T26.21XA is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52438Billing and Coding: Tetanus Immunization
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56900Billing and Coding: Immunizations
Related codes at this level
Codes that share T26.21. If T26.21XA is not quite right, the correct code is usually one of these.
Questions about T26.21XA
- Is T26.21XA a billable ICD-10-CM code?
- Yes. T26.21XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T26.21XA sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Burns and corrosions confined to eye and internal organs (T26-T28).