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S01.101A vs S01.101D

S01.101A (Unspecified open wound of right eyelid and periocular area, initial encounter) compared with S01.101D (Unspecified open wound of right eyelid and periocular area, subsequent encounter), from the official CMS tabular data. S01.101A and S01.101D code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S01.101A
Initial encounter
Unspecified open wound of right eyelid and periocular area, initial encounter
S01.101D
Subsequent encounter
Unspecified open wound of right eyelid and periocular area, 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. S01.101A and S01.101D 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

S01.101AUnspecified open wound of right eyelid and periocular area, initial encounterS01.101DUnspecified open wound of right eyelid and periocular area, subsequent 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)
DefinitionUnspecified open wound of right eyelid and periocular area, initial encounter is a billable ICD-10-CM diagnosis code (S01.101A).Unspecified open wound of right eyelid and periocular area, subsequent encounter is a billable ICD-10-CM diagnosis code (S01.101D).
7th characterThe appropriate 7th character is to be added to each code from category S01The appropriate 7th character is to be added to each code from category S01
Includes
injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum
injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum

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