ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 T07

Non-Billable Header

Unspecified multiple injuries

T07
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM T07

ICD-10-CM code T07 represents Unspecified multiple injuries. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block T07). The 2026 edition of ICD-10-CM T07 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Coding Tips for T07

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Injury chapter (S00-T88): 7th character extension required

Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.

Type 1 Excludes

Pure excludes, these codes can never be coded together with T07. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
  • sunburn (L55.-)
  • injury NOS (T14.90)

Coding Notes

Seven Chr Note

  • The appropriate 7th character is to be added to code T07

Medicare LCD Coverage for T07

Local Coverage Determinations (LCDs) from CMS MACs that list T07 as a covered diagnosis.

No Medicare LCDs reference T07 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing T07.

No commercial payer policies reference T07 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but T07 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with T07

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for T07

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert T07 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
T07 9598 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 T07, Billing FAQ

Is ICD-10 code T07 billable? +

No, T07 is a non-billable header code. Use a more specific child code from block T07 when submitting claims.

What codes are Type 1 Excludes for T07? +

Type 1 Excludes (never code together with T07): burns and corrosions (T20-T32); frostbite (T33-T34); insect bite or sting, venomous (T63.4)

What ICD-9 codes does T07 map to? +

Per CMS GEMs, T07 maps to ICD-9 codes: 9598. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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