T78.8XXA
T78.8XXA: Other adverse effects, not elsewhere classified, initial encounter
Billable / specific codeICD-10-CM
T78.8XXA is a billable, specific ICD-10-CM code for other adverse effects, not elsewhere classified, initial encounter. It is valid for submission on a claim.
Check T78.8XXA 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 T78
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Other codes that can never be billed with T78.8XXA
Their own Excludes1 notes name this code, so the conflict is not listed above.
- T75Other and unspecified effects of other external causes
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T78.8XXA is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57326Billing and Coding: Electrocardiograms
Code history
Unchanged in every release from FY2024 to FY2027.