S28.212A vs S28.212D
S28.212A (Complete traumatic amputation of left breast, initial encounter) compared with S28.212D (Complete traumatic amputation of left breast, subsequent encounter), from the official CMS tabular data. S28.212A and S28.212D code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S28.212A and S28.212D 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
| S28.212AComplete traumatic amputation of left breast, initial encounter | S28.212DComplete traumatic amputation of left breast, subsequent encounter | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | S00-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) |
| Definition | Complete traumatic amputation of left breast, initial encounter is a billable ICD-10-CM diagnosis code (S28.212A). | Complete traumatic amputation of left breast, subsequent encounter is a billable ICD-10-CM diagnosis code (S28.212D). |
| 7th character | The appropriate 7th character is to be added to each code from category S28 | The appropriate 7th character is to be added to each code from category S28 |
| Includes | injuries of breast injuries of chest (wall) injuries of interscapular area | injuries of breast injuries of chest (wall) injuries of interscapular area |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources