S36.498A vs S36.498D
S36.498A (Other injury of other part of small intestine, initial encounter) compared with S36.498D (Other injury of other part of small intestine, subsequent encounter), from the official CMS tabular data. S36.498A and S36.498D code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S36.498A and S36.498D 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
| S36.498AOther injury of other part of small intestine, initial encounter | S36.498DOther injury of other part of small intestine, 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 | Other injury of other part of small intestine, initial encounter is a billable ICD-10-CM diagnosis code (S36.498A). | Other injury of other part of small intestine, subsequent encounter is a billable ICD-10-CM diagnosis code (S36.498D). |
| 7th character | The appropriate 7th character is to be added to each code from category S36 | The appropriate 7th character is to be added to each code from category S36 |
| 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