T58.12XA — Toxic effect of carbon monoxide from utility gas, intentional self-harm, initial encounter
T58.12XA is a billable, specific ICD-10-CM code for toxic effect of carbon monoxide from utility gas, intentional self-harm, 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 T58
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T58.12XA risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 155 Major Depression, Moderate or Severe, without Psychosis0.299 RAF
- HCC 155 Major Depression, Moderate or Severe, without Psychosis0.299 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
T58.12XA is named in 5 Medicare coverage policies — 5 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
- A56625Billing and Coding: Echocardiography
- A57205Billing and Coding: Oximetry Services
- A57306Billing and Coding: Transthoracic Echocardiography (TTE)
Related codes at this level
Codes that share T58.12. If T58.12XA is not quite right, the correct code is usually one of these.
Questions about T58.12XA
- Is T58.12XA a billable ICD-10-CM code?
- Yes. T58.12XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T58.12XA 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).