S55.819A (Laceration of other blood vessels at forearm level, unspecified arm, initial encounter) compared with S55.819S (Laceration of other blood vessels at forearm level, unspecified arm, sequela), from the official CMS tabular data. S55.819A and S55.819S code the same injury at a different phase of treatment.
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. S55.819A and S55.819S 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.
| S55.819ALaceration of other blood vessels at forearm level, unspecified arm, initial encounter | S55.819SLaceration of other blood vessels at forearm level, unspecified arm, sequela | |
|---|---|---|
| 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 | Laceration of other blood vessels at forearm level, unspecified arm, initial encounter is a billable ICD-10-CM diagnosis code (S55.819A). | Laceration of other blood vessels at forearm level, unspecified arm, sequela is a billable ICD-10-CM diagnosis code (S55.819S). |
| 7th character | The appropriate 7th character is to be added to each code from category S55 | The appropriate 7th character is to be added to each code from category S55 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources