S60.369A (Insect bite (nonvenomous) of unspecified thumb, initial encounter) compared with S60.369D (Insect bite (nonvenomous) of unspecified thumb, subsequent encounter), from the official CMS tabular data. S60.369A and S60.369D 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. S60.369A and S60.369D 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.
| S60.369AInsect bite (nonvenomous) of unspecified thumb, initial encounter | S60.369DInsect bite (nonvenomous) of unspecified thumb, subsequent encounter | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | S00-T88 — Injury, poisoning and certain other consequences of external causes | S00-T88 — Injury, poisoning and certain other consequences of external causes |
| Definition | Insect bite (nonvenomous) of unspecified thumb, initial encounter is a billable ICD-10-CM diagnosis code (S60.369A). | Insect bite (nonvenomous) of unspecified thumb, subsequent encounter is a billable ICD-10-CM diagnosis code (S60.369D). |
| 7th character | The appropriate 7th character is to be added to each code from category S60 | The appropriate 7th character is to be added to each code from category S60 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources