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S61.519A vs S61.519S

S61.519A (Laceration without foreign body of unspecified wrist, initial encounter) compared with S61.519S (Laceration without foreign body of unspecified wrist, sequela), from the official CMS tabular data. S61.519A and S61.519S code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. S61.519A and S61.519S 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

S61.519ALaceration without foreign body of unspecified wrist, initial encounterS61.519SLaceration without foreign body of unspecified wrist, sequela
Billing statusBillableBillable
ClassificationS00-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)
DefinitionLaceration without foreign body of unspecified wrist, initial encounter is a billable ICD-10-CM diagnosis code (S61.519A).Laceration without foreign body of unspecified wrist, sequela is a billable ICD-10-CM diagnosis code (S61.519S).
7th characterThe appropriate 7th character is to be added to each code from category S61The appropriate 7th character is to be added to each code from category S61

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