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T16.1XXA vs T16.1XXD

T16.1XXA (Foreign body in right ear, initial encounter) compared with T16.1XXD (Foreign body in right ear, subsequent encounter), from the official CMS tabular data. T16.1XXA and T16.1XXD code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

T16.1XXA
Initial encounter
Foreign body in right ear, initial encounter
T16.1XXD
Subsequent encounter
Foreign body in right ear, subsequent encounter

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. T16.1XXA and T16.1XXD code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

T16.1XXAForeign body in right ear, initial encounterT16.1XXDForeign body in right ear, subsequent encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionForeign body in right ear, initial encounter is a billable ICD-10-CM diagnosis code (T16.1A).Foreign body in right ear, subsequent encounter is a billable ICD-10-CM diagnosis code (T16.1D).
7th characterThe appropriate 7th character is to be added to each code from category T16The appropriate 7th character is to be added to each code from category T16
Includes
foreign body in auditory canal
foreign body in auditory canal
Use additional code
code, if known, for foreign body entering into or through a natural orifice (W44.-)
code, if known, for foreign body entering into or through a natural orifice (W44.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources