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S48.122A vs S48.122S

S48.122A (Partial traumatic amputation at level between left shoulder and elbow, initial encounter) compared with S48.122S (Partial traumatic amputation at level between left shoulder and elbow, sequela), from the official CMS tabular data. S48.122A and S48.122S code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

S48.122A
Initial encounter
Partial traumatic amputation at level between left shoulder and elbow, initial encounter
S48.122S
Sequela
Partial traumatic amputation at level between left shoulder and elbow, sequela

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. S48.122A and S48.122S 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

S48.122APartial traumatic amputation at level between left shoulder and elbow, initial encounterS48.122SPartial traumatic amputation at level between left shoulder and elbow, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionPartial traumatic amputation at level between left shoulder and elbow, initial encounter is a billable ICD-10-CM diagnosis code (S48.122A).Partial traumatic amputation at level between left shoulder and elbow, sequela is a billable ICD-10-CM diagnosis code (S48.122S).
7th characterThe appropriate 7th character is to be added to each code from category S48The 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

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