T21.26XS
T21.26XS: Burn of second degree of male genital region, sequela
Billable / specific codeICD-10-CMPOA exempt
T21.26XS is a billable, specific ICD-10-CM code for burn of second degree of male genital region, sequela. It is valid for submission on a claim.
Check T21.26XS with the rest of the claim: free scrubber7th character "S": sequela
The appropriate 7th character is to be added to each code from category T21
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Burn of second degree of penis
- Burn of second degree of scrotum
- Burn of second degree of testis
Excludes2 inherited from the categories above T21.26XS
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T21.26XS is named in 7 Medicare coverage policies: 6 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Code history
Unchanged in every release from FY2024 to FY2027.