T26.01XS
T26.01XS — Burn of right eyelid and periocular area, sequela
Billable / specific codeICD-10-CMPOA exemptright
T26.01XS is a billable, specific ICD-10-CM code for burn of right eyelid and periocular area, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category T26
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T26.01XS 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
T26.01XS is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share T26.01. If T26.01XS is not quite right, the correct code is usually one of these.
Questions about T26.01XS
- Is T26.01XS a billable ICD-10-CM code?
- Yes. T26.01XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T26.01XS sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Burns and corrosions confined to eye and internal organs (T26-T28).