S67.195A (Crushing injury of left ring finger, initial encounter) compared with S67.195S (Crushing injury of left ring finger, sequela), from the official CMS tabular data. S67.195A and S67.195S 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. S67.195A and S67.195S 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.
| S67.195ACrushing injury of left ring finger, initial encounter | S67.195SCrushing injury of left ring finger, 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 | Crushing injury of left ring finger, initial encounter is a billable ICD-10-CM diagnosis code (S67.195A). | Crushing injury of left ring finger, sequela is a billable ICD-10-CM diagnosis code (S67.195S). |
| 7th character | The appropriate 7th character is to be added to each code from category S67 | The appropriate 7th character is to be added to each code from category S67 |
| Use additional code | code for all associated injuries, such as: fracture of wrist and hand (S62.-) open wound of wrist and hand (S61.-) | code for all associated injuries, such as: fracture of wrist and hand (S62.-) open wound of wrist and hand (S61.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources