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S01.541A vs S01.541S

S01.541A (Puncture wound with foreign body of lip, initial encounter) compared with S01.541S (Puncture wound with foreign body of lip, sequela), from the official CMS tabular data. S01.541A and S01.541S code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

S01.541A
Initial encounter
Puncture wound with foreign body of lip, initial encounter
S01.541S
Sequela
Puncture wound with foreign body of lip, sequela

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. S01.541A and S01.541S 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

S01.541APuncture wound with foreign body of lip, initial encounterS01.541SPuncture wound with foreign body of lip, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionPuncture wound with foreign body of lip, initial encounter is a billable ICD-10-CM diagnosis code (S01.541A).Puncture wound with foreign body of lip, sequela is a billable ICD-10-CM diagnosis code (S01.541S).
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