Is T75.1XXS a billable ICD-10-CM code?

Yes. T75.1XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does T75.1XXS 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).

What cannot be coded together with T75.1XXS?

T75.1XXS carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

T75.1XXS

T75.1XXS — Unspecified effects of drowning and nonfatal submersion, sequela

Billable / specific codeICD-10-CMPOA exempt

T75.1XXS is a billable, specific ICD-10-CM code for unspecified effects of drowning and nonfatal submersion, 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 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

Risk adjustment

T75.1XXS 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

T75.1XXS 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 T75.1. If T75.1XXS is not quite right, the correct code is usually one of these.

Questions about T75.1XXS

Is T75.1XXS a billable ICD-10-CM code?: Yes. T75.1XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does T75.1XXS 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).
What cannot be coded together with T75.1XXS?: T75.1XXS carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.