S48.119A vs S48.119D

S48.119A (Complete traumatic amputation at level between unspecified shoulder and elbow, initial encounter) compared with S48.119D (Complete traumatic amputation at level between unspecified shoulder and elbow, subsequent encounter), from the official CMS tabular data. S48.119A and S48.119D code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S48.119A

Initial encounter

Complete traumatic amputation at level between unspecified shoulder and elbow, initial encounter

↔

S48.119D

Subsequent encounter

Complete traumatic amputation at level between unspecified shoulder and elbow, subsequent encounter

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

Can these codes be reported together?

Same injury, other encounter phase. S48.119A and S48.119D 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

	S48.119AComplete traumatic amputation at level between unspecified shoulder and elbow, initial encounter	S48.119DComplete traumatic amputation at level between unspecified shoulder and elbow, 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	Complete traumatic amputation at level between unspecified shoulder and elbow, initial encounter is a billable ICD-10-CM diagnosis code (S48.119A).	Complete traumatic amputation at level between unspecified shoulder and elbow, subsequent encounter is a billable ICD-10-CM diagnosis code (S48.119D).
7th character	The appropriate 7th character is to be added to each code from category S48	The appropriate 7th character is to be added to each code from category S48
Includes	injuries of axilla injuries of scapular region	injuries of axilla injuries of scapular region

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources