T20.212D — Burn of second degree of left ear [any part, except ear drum], subsequent encounter
T20.212D is a billable, specific ICD-10-CM code for burn of second degree of left ear [any part, except ear drum], subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category T20
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T20.212D 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
T20.212D is named in 8 Medicare coverage policies — 7 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share T20.212. If T20.212D is not quite right, the correct code is usually one of these.
Questions about T20.212D
- Is T20.212D a billable ICD-10-CM code?
- Yes. T20.212D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T20.212D sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Burns and corrosions of external body surface, specified by site (T20-T25).