T28.0XXA
T28.0XXA: Burn of mouth and pharynx, initial encounter
Billable / specific codeICD-10-CM
T28.0XXA is a billable, specific ICD-10-CM code for burn of mouth and pharynx, initial encounter. It is valid for submission on a claim.
Check T28.0XXA 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 T28
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T28.0XXA is named in 8 Medicare coverage policies: 8 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
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56900Billing and Coding: Immunizations
Code history
Unchanged in every release from FY2024 to FY2027.