T07.XXXD — Unspecified multiple injuries, subsequent encounter
T07.XXXD is a billable, specific ICD-10-CM code for unspecified multiple injuries, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent 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.XXXD 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.XXXD is named in 2 Medicare coverage policies — 2 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
Related codes at this level
Codes that share T07. If T07.XXXD is not quite right, the correct code is usually one of these.
Questions about T07.XXXD
- Is T07.XXXD a billable ICD-10-CM code?
- Yes. T07.XXXD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T07.XXXD 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.XXXD?
- T07.XXXD carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.