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S67.92XA vs S67.92XD

S67.92XA (Crushing injury of unspecified part(s) of left wrist, hand and fingers, initial encounter) compared with S67.92XD (Crushing injury of unspecified part(s) of left wrist, hand and fingers, subsequent encounter), from the official CMS tabular data. S67.92XA and S67.92XD code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S67.92XA
Initial encounter
Crushing injury of unspecified part(s) of left wrist, hand and fingers, initial encounter
↔
S67.92XD
Subsequent encounter
Crushing injury of unspecified part(s) of left wrist, hand and fingers, subsequent encounter

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

Can these codes be reported together?

Same injury, other encounter phase. S67.92XA and S67.92XD 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

S67.92XACrushing injury of unspecified part(s) of left wrist, hand and fingers, initial encounterS67.92XDCrushing injury of unspecified part(s) of left wrist, hand and fingers, subsequent encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionCrushing injury of unspecified part(s) of left wrist, hand and fingers, initial encounter is a billable ICD-10-CM diagnosis code (S67.92A).Crushing injury of unspecified part(s) of left wrist, hand and fingers, subsequent encounter is a billable ICD-10-CM diagnosis code (S67.92D).
7th characterThe appropriate 7th character is to be added to each code from category S67The 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.-)
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources