T07.XXXA — Unspecified multiple injuries, initial encounter
T07.XXXA is a billable, specific ICD-10-CM code for unspecified multiple injuries, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to code T07
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- injury NOS (T14.90)
Risk adjustment
T07.XXXA 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
T07.XXXA is named in 4 Medicare coverage policies — 4 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
- A57044Billing and Coding: Removal of Benign Skin Lesions
- A57205Billing and Coding: Oximetry Services
- A57554Billing and Coding: Immune Globulins
Related codes at this level
Codes that share T07. If T07.XXXA is not quite right, the correct code is usually one of these.
Questions about T07.XXXA
- Is T07.XXXA a billable ICD-10-CM code?
- Yes. T07.XXXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T07.XXXA sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries involving multiple body regions (T07).
- What cannot be coded together with T07.XXXA?
- T07.XXXA carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.