T53.6X4A
T53.6X4A: Toxic effect of other halogen derivatives of aliphatic hydrocarbons, undetermined, initial encounter
Billable / specific codeICD-10-CM
T53.6X4A is a billable, specific ICD-10-CM code for toxic effect of other halogen derivatives of aliphatic hydrocarbons, undetermined, initial encounter. It is valid for submission on a claim.
Check T53.6X4A 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 T53
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Other codes that can never be billed with T53.6X4A
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T53.6X4A is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56612Billing and Coding: CT of the Head
- A57205Billing and Coding: Oximetry Services
Code history
Unchanged in every release from FY2024 to FY2027.