T56.813A
T56.813A — Toxic effect of thallium, assault, initial encounter
Billable / specific codeICD-10-CM
T56.813A is a billable, specific ICD-10-CM code for toxic effect of thallium, 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 T56
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T56.813A 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
T56.813A is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56612Billing and Coding: CT of the Head
Related codes at this level
Codes that share T56.813. If T56.813A is not quite right, the correct code is usually one of these.
Questions about T56.813A
- Is T56.813A a billable ICD-10-CM code?
- Yes. T56.813A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T56.813A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Toxic effects of substances chiefly nonmedicinal as to source (T51-T65).