T79.A12D
T79.A12D — Traumatic compartment syndrome of left upper extremity, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptleft
T79.A12D is a billable, specific ICD-10-CM code for traumatic compartment syndrome of left upper extremity, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category T79
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T79.A12D 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.A12D is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share T79.A12. If T79.A12D is not quite right, the correct code is usually one of these.
Questions about T79.A12D
- Is T79.A12D a billable ICD-10-CM code?
- Yes. T79.A12D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T79.A12D 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).