S34.111A vs S34.111D
S34.111A (Complete lesion of L1 level of lumbar spinal cord, initial encounter) compared with S34.111D (Complete lesion of L1 level of lumbar spinal cord, subsequent encounter), from the official CMS tabular data. S34.111A and S34.111D code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S34.111A and S34.111D 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
| S34.111AComplete lesion of L1 level of lumbar spinal cord, initial encounter | S34.111DComplete lesion of L1 level of lumbar spinal cord, 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 lesion of L1 level of lumbar spinal cord, initial encounter is a billable ICD-10-CM diagnosis code (S34.111A). | Complete lesion of L1 level of lumbar spinal cord, subsequent encounter is a billable ICD-10-CM diagnosis code (S34.111D). |
| 7th character | The appropriate 7th character is to be added to each code from category S34 | The appropriate 7th character is to be added to each code from category S34 |
| Includes | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources