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T26.21XA vs T26.22XA

T26.21XA (Burn with resulting rupture and destruction of right eyeball, initial encounter) compared with T26.22XA (Burn with resulting rupture and destruction of left eyeball, initial encounter), from the official CMS tabular data. T26.21XA and T26.22XA code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

T26.21XA
Right
Burn with resulting rupture and destruction of right eyeball, initial encounter
T26.22XA
Left
Burn with resulting rupture and destruction of left eyeball, initial encounter

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. T26.21XA and T26.22XA name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

T26.21XABurn with resulting rupture and destruction of right eyeball, initial encounterT26.22XABurn with resulting rupture and destruction of left eyeball, initial encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionBurn with resulting rupture and destruction of right eyeball, initial encounter is a billable ICD-10-CM diagnosis code (T26.21XA).Burn with resulting rupture and destruction of left eyeball, initial encounter is a billable ICD-10-CM diagnosis code (T26.22XA).
7th characterThe appropriate 7th character is to be added to each code from category T26The appropriate 7th character is to be added to each code from category T26
Use additional code
external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)

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