T75.1XXA: Unspecified effects of drowning and nonfatal submersion, initial encounter
T75.1XXA is a billable, specific ICD-10-CM code for unspecified effects of drowning and nonfatal submersion, initial encounter. It is valid for submission on a claim.
Check T75.1XXA 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 T75
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- specified effects of drowning- code to effects
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Immersion
Excludes1 inherited from the categories above T75.1XXA
A category’s note binds every code beneath it.
Written on T75.1: Unspecified effects of drowning and nonfatal submersion
- specified effects of drowning- code to effects
Excludes2 inherited from the categories above T75.1XXA
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T75.1XXA is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56612Billing and Coding: CT of the Head
- A57205Billing and Coding: Oximetry Services
Code history
Unchanged in every release from FY2024 to FY2027.