S37.049A (Minor laceration of unspecified kidney, initial encounter) compared with S37.049D (Minor laceration of unspecified kidney, subsequent encounter), from the official CMS tabular data. S37.049A and S37.049D code the same injury at a different phase of treatment.
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
Same injury, other encounter phase. S37.049A and S37.049D 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.
| S37.049AMinor laceration of unspecified kidney, initial encounter | S37.049DMinor laceration of unspecified kidney, 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 | Minor laceration of unspecified kidney, initial encounter is a billable ICD-10-CM diagnosis code (S37.049A). | Minor laceration of unspecified kidney, subsequent encounter is a billable ICD-10-CM diagnosis code (S37.049D). |
| 7th character | The appropriate 7th character is to be added to each code from category S37 | The appropriate 7th character is to be added to each code from category S37 |
| 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