T40.0X3A
T40.0X3A — Poisoning by opium, assault, initial encounter
Billable / specific codeICD-10-CM
T40.0X3A is a billable, specific ICD-10-CM code for poisoning by opium, assault, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category T40
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T40.0X3A 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
T40.0X3A is named in 13 Medicare coverage policies — 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54799Billing and Coding: Urine Drug Testing
- A55001Billing and Coding: Urine Drug Testing
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56612Billing and Coding: CT of the Head
Related codes at this level
Codes that share T40.0X3. If T40.0X3A is not quite right, the correct code is usually one of these.
Questions about T40.0X3A
- Is T40.0X3A a billable ICD-10-CM code?
- Yes. T40.0X3A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T40.0X3A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50).