S41.051A (Open bite of right shoulder, initial encounter) compared with S41.051D (Open bite of right shoulder, subsequent encounter), from the official CMS tabular data. S41.051A and S41.051D code the same injury at a different phase of treatment. MedCoder-derived
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. S41.051A and S41.051D 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.
| S41.051AOpen bite of right shoulder, initial encounter | S41.051DOpen bite of right shoulder, 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 | Open bite of right shoulder, initial encounter is a billable ICD-10-CM diagnosis code (S41.051A). | Open bite of right shoulder, subsequent encounter is a billable ICD-10-CM diagnosis code (S41.051D). |
| 7th character | The appropriate 7th character is to be added to each code from category S41 | The appropriate 7th character is to be added to each code from category S41 |
| Includes | injuries of axilla injuries of scapular region | injuries of axilla injuries of scapular region |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources