T74.4XXD
T74.4XXD — Shaken infant syndrome, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
T74.4XXD is a billable, specific ICD-10-CM code for shaken infant syndrome, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category T74
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T74.4XXD 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
T74.4XXD is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56612Billing and Coding: CT of the Head
- A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Related codes at this level
Codes that share T74.4. If T74.4XXD is not quite right, the correct code is usually one of these.
Questions about T74.4XXD
- Is T74.4XXD a billable ICD-10-CM code?
- Yes. T74.4XXD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T74.4XXD 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).