S47.1XXA (Crushing injury of right shoulder and upper arm, initial encounter) compared with S47.1XXD (Crushing injury of right shoulder and upper arm, subsequent encounter), from the official CMS tabular data. S47.1XXA and S47.1XXD 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. S47.1XXA and S47.1XXD 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.
| S47.1XXACrushing injury of right shoulder and upper arm, initial encounter | S47.1XXDCrushing injury of right shoulder and upper arm, 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 | Crushing injury of right shoulder and upper arm, initial encounter is a billable ICD-10-CM diagnosis code (S47.1XXA). | Crushing injury of right shoulder and upper arm, subsequent encounter is a billable ICD-10-CM diagnosis code (S47.1XXD). |
| 7th character | The appropriate 7th character is to be added to each code from category S47 | The appropriate 7th character is to be added to each code from category S47 |
| Includes | injuries of axilla injuries of scapular region | injuries of axilla injuries of scapular region |
| Use additional code | code for all associated injuries | code for all associated injuries |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources