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T26.22XA vs T26.22XD

T26.22XA (Burn with resulting rupture and destruction of left eyeball, initial encounter) compared with T26.22XD (Burn with resulting rupture and destruction of left eyeball, subsequent encounter), from the official CMS tabular data. T26.22XA and T26.22XD code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

T26.22XA
Initial encounter
Burn with resulting rupture and destruction of left eyeball, initial encounter
↔
T26.22XD
Subsequent encounter
Burn with resulting rupture and destruction of left eyeball, 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. T26.22XA and T26.22XD 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

T26.22XABurn with resulting rupture and destruction of left eyeball, initial encounterT26.22XDBurn with resulting rupture and destruction of left eyeball, 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
DefinitionBurn with resulting rupture and destruction of left eyeball, initial encounter is a billable ICD-10-CM diagnosis code (T26.22A).Burn with resulting rupture and destruction of left eyeball, subsequent encounter is a billable ICD-10-CM diagnosis code (T26.22D).
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)
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources