T79.1XXS
T79.1XXS: Fat embolism (traumatic), sequela
Billable / specific codeICD-10-CMPOA exempt
T79.1XXS is a billable, specific ICD-10-CM code for fat embolism (traumatic), sequela. It is valid for submission on a claim.
Check T79.1XXS with the rest of the claim: free scrubber7th 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.
Excludes1 inherited from the categories above T79.1XXS
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above T79.1XXS
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
T79.1XXS is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A53064Billing and Coding: Outpatient Occupational Therapy
Code history
Unchanged in every release from FY2024 to FY2027.