T14 — Injury of unspecified body region
ICD-10-CM codes T14 cover injury of unspecified body region, within injury, poisoning and certain other consequences of external causes. The block holds 14 codes across 1 category, of which 9 are billable and 5 are header codes that cannot be submitted on a claim. 14 of them (100%) require a 7th character.
The 7th character in T14
A code in this block is not complete without its 7th character, and a missing one is a rejected claim rather than a denied one: the clearinghouse never passes it on. 14 of the 14 codes here take one.
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment in T14
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 155 Major Depression, Moderate or Severe, without Psychosis
What else to watch in T14
- 4 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.