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S08.0XXA vs S08.0XXS

S08.0XXA (Avulsion of scalp, initial encounter) compared with S08.0XXS (Avulsion of scalp, sequela), from the official CMS tabular data. S08.0XXA and S08.0XXS code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

S08.0XXA
Initial encounter
Avulsion of scalp, initial encounter
S08.0XXS
Sequela
Avulsion of scalp, 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. S08.0XXA and S08.0XXS 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

S08.0XXAAvulsion of scalp, initial encounterS08.0XXSAvulsion of scalp, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionAvulsion of scalp, initial encounter is a billable ICD-10-CM diagnosis code (S08.0A).Avulsion of scalp, sequela is a billable ICD-10-CM diagnosis code (S08.0S).
7th characterThe appropriate 7th character is to be added to each code from category S08The appropriate 7th character is to be added to each code from category S08
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