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S63.321A vs S63.321S

S63.321A (Traumatic rupture of right radiocarpal ligament, initial encounter) compared with S63.321S (Traumatic rupture of right radiocarpal ligament, sequela), from the official CMS tabular data. S63.321A and S63.321S code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. S63.321A and S63.321S 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

S63.321ATraumatic rupture of right radiocarpal ligament, initial encounterS63.321STraumatic rupture of right radiocarpal ligament, 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)
DefinitionTraumatic rupture of right radiocarpal ligament, initial encounter is a billable ICD-10-CM diagnosis code (S63.321A).Traumatic rupture of right radiocarpal ligament, sequela is a billable ICD-10-CM diagnosis code (S63.321S).
7th characterThe appropriate 7th character is to be added to each code from category S63The appropriate 7th character is to be added to each code from category S63
Includes
avulsion of joint or ligament at wrist and hand level
laceration of cartilage, joint or ligament at wrist and hand level
sprain of cartilage, joint or ligament at wrist and hand level
traumatic hemarthrosis of joint or ligament at wrist and hand level
avulsion of joint or ligament at wrist and hand level
laceration of cartilage, joint or ligament at wrist and hand level
sprain of cartilage, joint or ligament at wrist and hand level
traumatic hemarthrosis of joint or ligament at wrist and hand level

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