T26.12XS
T26.12XS: Burn of cornea and conjunctival sac, left eye, sequela
Billable / specific codeICD-10-CMPOA exemptleft
T26.12XS is a billable, specific ICD-10-CM code for burn of cornea and conjunctival sac, left eye, sequela. It is valid for submission on a claim.
Check T26.12XS with the rest of the claim: free scrubber7th 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
Other codes that can never be billed with T26.12XS
Their own Excludes1 notes name this code, so the conflict is not listed above.
- H10.21Acute toxic conjunctivitis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T26.12XS is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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Code history
Unchanged in every release from FY2024 to FY2027.