T69.8XXS
T69.8XXS — Other specified effects of reduced temperature, sequela
Billable / specific codeICD-10-CMPOA exempt
T69.8XXS is a billable, specific ICD-10-CM code for other specified effects of reduced temperature, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category T69
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T69.8XXS 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
T69.8XXS 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 T69.8. If T69.8XXS is not quite right, the correct code is usually one of these.
Questions about T69.8XXS
- Is T69.8XXS a billable ICD-10-CM code?
- Yes. T69.8XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T69.8XXS sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Other and unspecified effects of external causes (T66-T78).