S38.3XXA vs S38.3XXD
S38.3XXA (Transection (partial) of abdomen, initial encounter) compared with S38.3XXD (Transection (partial) of abdomen, subsequent encounter), from the official CMS tabular data. S38.3XXA and S38.3XXD code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S38.3XXA and S38.3XXD 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
| S38.3XXATransection (partial) of abdomen, initial encounter | S38.3XXDTransection (partial) of abdomen, 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 | Transection (partial) of abdomen, initial encounter is a billable ICD-10-CM diagnosis code (S38.3A). | Transection (partial) of abdomen, subsequent encounter is a billable ICD-10-CM diagnosis code (S38.3D). |
| 7th character | The appropriate 7th character is to be added to each code from category S38 | The appropriate 7th character is to be added to each code from category S38 |
| 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