T26.21XD
T26.21XD: Burn with resulting rupture and destruction of right eyeball, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptright
T26.21XD is a billable, specific ICD-10-CM code for burn with resulting rupture and destruction of right eyeball, subsequent encounter. It is valid for submission on a claim.
Check T26.21XD with the rest of the claim: free scrubber7th character "D": subsequent encounter
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 T26.21XD
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
T26.21XD is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
- A57221Billing and Coding: Plastic Surgery
Code history
Unchanged in every release from FY2024 to FY2027.