T18.128A
T18.128A — Food in esophagus causing other injury, initial encounter
Billable / specific codeICD-10-CM
T18.128A is a billable, specific ICD-10-CM code for food in esophagus causing other injury, 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 T18
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T18.128A 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
T18.128A 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.
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
- A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
Related codes at this level
Codes that share T18.128. If T18.128A is not quite right, the correct code is usually one of these.
Questions about T18.128A
- Is T18.128A a billable ICD-10-CM code?
- Yes. T18.128A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T18.128A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Effects of foreign body entering through natural orifice (T15-T19).