T79.0XXS — Air embolism (traumatic), sequela
T79.0XXS is a billable, specific ICD-10-CM code for air embolism (traumatic), 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 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.
Risk adjustment
T79.0XXS 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
T79.0XXS is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Related codes at this level
Codes that share T79.0. If T79.0XXS is not quite right, the correct code is usually one of these.
Questions about T79.0XXS
- Is T79.0XXS a billable ICD-10-CM code?
- Yes. T79.0XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T79.0XXS sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Certain early complications of trauma (T79).
- What cannot be coded together with T79.0XXS?
- T79.0XXS carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.