T59.813A
T59.813A: Toxic effect of smoke, assault, initial encounter
Billable / specific codeICD-10-CM
T59.813A is a billable, specific ICD-10-CM code for toxic effect of smoke, assault, initial encounter. It is valid for submission on a claim.
Check T59.813A 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 T59
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above T59.813A
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above T59.813A
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with T59.813A
Their own Excludes1 notes name this code, so the conflict is not listed above.
- T71Asphyxiation
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T59.813A is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Unchanged in every release from FY2024 to FY2027.