T26.40XA
T26.40XA: Burn of unspecified eye and adnexa, part unspecified, initial encounter
Billable / specific codeICD-10-CMunspecified
T26.40XA is a billable, specific ICD-10-CM code for burn of unspecified eye and adnexa, part unspecified, initial encounter. It is valid for submission on a claim.
Check T26.40XA with the rest of the claim: free scrubber7th character "A": initial 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 T26.40XA
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
T26.40XA is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56908Billing and Coding: Blepharoplasty, Blepharoptosis and Brow Lift
- A57068Billing and Coding: Ocular Photography - External
- A57205Billing and Coding: Oximetry Services
- A59186Billing and Coding: Magnesium
Code history
Unchanged in every release from FY2024 to FY2027.