T81.69XD — Other acute reaction to foreign substance accidentally left during a procedure, subsequent encounter
T81.69XD is a billable, specific ICD-10-CM code for other acute reaction to foreign substance accidentally left during a procedure, 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 T81
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T81.69XD 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
T81.69XD is named in 5 Medicare coverage policies — 5 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
- A56612Billing and Coding: CT of the Head
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share T81.69. If T81.69XD is not quite right, the correct code is usually one of these.
Questions about T81.69XD
- Is T81.69XD a billable ICD-10-CM code?
- Yes. T81.69XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T81.69XD sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Complications of surgical and medical care, not elsewhere classified (T80-T88).