T26.22XA
Burn with resulting rupture and destruction of left eyeball, initial encounter
T26.22XA (also written T2622XA) is a billable ICD-10-CM diagnosis code for burn with resulting rupture and destruction of left eyeball, initial encounter. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 90 codes in category T26 (Burn and corrosion confined to eye and adnexa). Its 7th character, A, means initial encounter. Its coding notes include a Use additional code instruction and 2 Excludes2 entries.
7th character
Category T26 requires a 7th character. T26.22 has only 5 characters, so a placeholder X fills the 6th position.
Guidelines tips
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.
Late effects of burns are coded with 7th character S, and a current burn and a sequela of an old burn can be coded together. An external cause code is used with burns.
Use additional code
Add the listed code as a secondary code, if known.
- external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
Also from chapter/block level (1 note)
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (2 notes)
- birth trauma (P10-P15)
- obstetric trauma (O70-O71)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
Home Health Primary
Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.
Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026IRF 60% Rule
On the CMS list of diagnoses used to determine presumptive compliance with the IRF 60 percent rule.
Source: CMS IRF Presumptive Compliance-3, FY 2027 IRF PPS final rule files, effective for discharges on or after October 1, 2026Hospital CC
Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 1 code in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.
Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix CHAC
On the CMS list of hospital-acquired conditions (HAC 05: Falls and Trauma). When the claim reports it with a present-on-admission (POA) indicator of N (not present) or U (documentation insufficient), CMS does not pay the CC or MCC DRG for it. A POA of Y (present) or W (clinically undetermined) is paid normally.
Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix I; CMS Hospital-Acquired Conditions (HAC) Coding page, POA indicator payment tableNotes
Also from chapter/block level (2 notes)
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.