T87.1X9: Complications of reattached (part of) unspecified lower extremity

Risk adjustment

T87.1X9 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 405 Traumatic Amputations and Complications0.598 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

T87.1X9 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A57311Billing and Coding: Physical Therapy - Home Health