Version 2024

2024 ICD-10-CM Diagnosis Code T07.XXXD

Unspecified multiple injuries, subsequent encounter

ICD-10-CM Code:: T07.XXXD
ICD-10 Code for:: Unspecified multiple injuries, subsequent encounter
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Not chronic
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Code Information
Approximate Synonyms
Clinical Classification
Coding Guidelines
Tabular List of Diseases and Injuries
Diagnostic Related Groups Mapping
Present on Admission (POA)
Replacement Code
Convert to ICD-9 Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Injury, poisoning and certain other consequences of external causes
(S00–T88)
- Injuries involving multiple body regions
  (T07)
  - Unspecified multiple injuries
    (T07)

T07.XXXD is a billable diagnosis code used to specify a medical diagnosis of unspecified multiple injuries, subsequent encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

T07.XXXD is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like unspecified multiple injuries. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.

Unspecified diagnosis codes like T07.XXXD are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Chop wound
Closed fracture dislocation multiple digits
Closed fracture of sternum
Closed fracture of sternum
Closed fractures involving head with neck
Closed fractures involving multiple regions of both upper limbs
Closed fractures involving multiple regions of left upper limb
Closed fractures involving multiple regions of right upper limb
Closed fractures involving multiple regions upper with lower limb
Closed fractures of multiple bones of lower limb
Closed multiple fractures of both lower limbs
Closed multiple fractures of both upper limbs
Closed multiple fractures of lower limb AND ribs
Closed multiple fractures of lower limb AND sternum
Closed multiple fractures of lower limb with ribs AND sternum
Closed multiple fractures of upper AND lower limbs
Closed multiple fractures of upper limb with ribs
Closed multiple fractures of upper limb with sternum
Closed traumatic dislocation multiple digits
Closed traumatic subluxation multiple digits
Contusion of multiple sites
Contusion of multiple sites of upper limb
Crushing injury of multiple sites
Crushing injury of multiple sites of lower limb
Dislocations, sprains and strains involving multiple body regions
Dislocations/sprains/strains
Fracture of multiple bones
Fracture of multiple bones of upper limb
Fractures involving head with neck
Fractures involving multiple body regions
Fractures involving multiple regions of both lower limbs
Fractures involving multiple regions of both upper limbs
Fractures involving multiple regions of left lower limb
Fractures involving multiple regions of left upper limb
Fractures involving multiple regions of right lower limb
Fractures involving multiple regions of right upper limb
Fractures involving multiple regions of upper limb
Injuries of blood vessels involving multiple body regions
Injuries of muscles and tendons involving multiple body regions
Injury involving multiple body regions
Injury of multiple intra-abdominal organs with open wound into abdominal cavity
Injury of multiple pelvic organs
Injury of multiple pelvic organs
Injury of multiple pelvic organs with open wound into cavity
Injury of nerve roots AND/OR spinal plexus of multiple sites
Multiple chop wounds of upper limb
Multiple closed dislocations of arm
Multiple fractures of lower limb AND ribs
Multiple fractures of lower limb AND ribs
Multiple fractures of lower limb AND ribs
Multiple fractures of lower limb AND sternum
Multiple fractures of lower limb AND sternum
Multiple fractures of lower limb AND sternum
Multiple fractures of lower limb AND sternum
Multiple fractures of lower limb AND sternum
Multiple fractures of lower limb with ribs AND sternum
Multiple fractures of lower limb with ribs AND sternum
Multiple fractures of sternum
Multiple fractures of sternum
Multiple fractures of upper AND lower limbs
Multiple fractures of upper limb with ribs
Multiple fractures of upper limb with ribs
Multiple fractures of upper limb with ribs
Multiple fractures of upper limb with ribs
Multiple fractures of upper limb with sternum
Multiple fractures of upper limb with sternum
Multiple fractures of upper limb with sternum
Multiple fractures of upper limb with sternum
Multiple fractures of upper limb with sternum AND ribs
Multiple fractures of upper limb with sternum AND ribs
Multiple injuries
Multiple injuries of digestive system
Multiple injuries of free lower limb
Multiple injuries of free upper limb
Multiple injuries of intrathoracic organs
Multiple injuries of lower limb
Multiple injuries of pelvis
Multiple injuries of upper limb
Multiple injuries of vertebral column region
Multiple nerve injury
Multiple open dislocations of back
Multiple open wounds
Multiple open wounds of lower limb with complication
Multiple open wounds of multiple body regions
Multiple open wounds of upper limb with complication
Multiple open wounds with complication
Multiple open wounds with complication
Multiple open wounds without complication
Multiple spinal cord injuries without spinal bone injury
Multiple traumatic injuries
Muscle and tendon injury
Nerve root and spinal plexus injuries of multiple sites
Nonvenomous insect bite of multiple sites
Nonvenomous insect bite of multiple sites with infection
Open fracture dislocation multiple digits
Open fracture involving multiple regions upper with lower limbs
Open fracture of multiple bones of upper limb
Open fracture of sternum
Open fracture of sternum
Open fracture of sternum
Open fracture subluxation digit
Open fracture subluxation of multiple digits
Open fractures involving head with neck
Open fractures involving multiple regions of left upper limb
Open fractures involving multiple regions of right upper limb
Open multiple fractures of both lower limbs
Open multiple fractures of both upper limbs
Open multiple fractures of lower limb AND ribs
Open multiple fractures of lower limb AND sternum
Open multiple fractures of lower limb AND sternum
Open multiple fractures of lower limb with ribs AND sternum
Open multiple fractures of upper AND lower limbs
Open multiple fractures of upper limb with ribs
Open multiple fractures of upper limb with ribs
Open multiple fractures of upper limb with sternum
Open multiple fractures of upper limb with sternum
Open multiple fractures of upper limb with sternum AND ribs
Open traumatic dislocation multiple digits
Open wounds involving multiple regions of lower limb
Open wounds involving multiple regions of upper limb
Pelvic girdle and lower limb multiple nerve injuries
Pelvic organ injury with open wound into abdominal cavity
Severe multiple injuries
Sharp force injury
Spinal cord injury of multiple sites without spinal bone injury
Superficial injuries involving multiple body regions
Superficial injuries involving multiple body regions
Superficial injuries involving multiple regions of upper limb
Tendon rupture - multiple
Victim of trauma with multiple injuries

Clinical Classification

Clinical Category is Other unspecified injuries, subsequent encounter
CCSR Category Code: INJ064
Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Unspecified multiple injuries (T07). Use the following options for the aplicable episode of care:

A - initial encounter
D - subsequent encounter
S - sequela

T07.XXXD is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
949	AFTERCARE WITH CC/MCC	23	1.0361
950	AFTERCARE WITHOUT CC/MCC	23	0.6282

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Present on Admission (POA)

T07.XXXD is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA Indicator	Reason for Code	CMS will pay the CC/MCC DRG?
Y	Diagnosis was present at time of inpatient admission.	YES
N	Diagnosis was not present at time of inpatient admission.	NO
U	Documentation insufficient to determine if the condition was present at the time of inpatient admission.	NO
W	Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.	YES
1	Unreported/Not used - Exempt from POA reporting.	NO

Replacement Code

T07XXXD replaces the following previously assigned ICD-10-CM code(s):

T07 - Unspecified multiple injuries

Convert T07.XXXD to ICD-9-CM

ICD-9-CM Code: V58.89 - Other specfied aftercare
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.