T79.0XXA: Air embolism (traumatic), initial encounter
T79.0XXA is a billable, specific ICD-10-CM code for air embolism (traumatic), initial encounter. It is valid for submission on a claim.
Check T79.0XXA 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 T79
- 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.
Excludes1 inherited from the categories above T79.0XXA
A category’s note binds every code beneath it.
Written on T79.0: Air embolism (traumatic)
Excludes2 inherited from the categories above T79.0XXA
Not part of this code, but both may be coded when both are present.
Risk adjustment
T79.0XXA risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 267 Deep Vein Thrombosis and Pulmonary Embolism0.294 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
T79.0XXA is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56612Billing and Coding: CT of the Head
- A56625Billing and Coding: Echocardiography
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
Code history
Unchanged in every release from FY2024 to FY2027.