T59.812A — Toxic effect of smoke, intentional self-harm, initial encounter
T59.812A is a billable, specific ICD-10-CM code for toxic effect of smoke, 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 T59
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above T59.812A
These are not written on T59.812A, but they bind it: a note on a category applies to every code beneath it. Billing T59.812A with anything listed here is a denial.
Excludes2 inherited from the categories above T59.812A
Also inherited, and the opposite of Excludes1: these conditions are not part of T59.812A, but a patient can have both, so you may code both.
Other codes that can never be billed with T59.812A
These codes carry an Excludes1 note pointing at T59.812A. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T59.812A alone.
- T71Asphyxiation
Risk adjustment
T59.812A 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
T59.812A is named in 4 Medicare coverage policies — 4 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
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A57205Billing and Coding: Oximetry Services
- A57224Billing and Coding: Respiratory Care
Code history
T59.812A has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share T59.812. If T59.812A is not quite right, the correct code is usually one of these.
Questions about T59.812A
- Is T59.812A a billable ICD-10-CM code?
- Yes. T59.812A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T59.812A 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).
- What cannot be coded together with T59.812A?
- T59.812A carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above T59.812A (T59) and apply to it just the same.