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S68.626A vs S68.626D

S68.626A (Partial traumatic transphalangeal amputation of right little finger, initial encounter) compared with S68.626D (Partial traumatic transphalangeal amputation of right little finger, subsequent encounter), from the official CMS tabular data. S68.626A and S68.626D code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

S68.626A
Initial encounter
Partial traumatic transphalangeal amputation of right little finger, initial encounter
↔
S68.626D
Subsequent encounter
Partial traumatic transphalangeal amputation of right little finger, 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. S68.626A and S68.626D 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

S68.626APartial traumatic transphalangeal amputation of right little finger, initial encounterS68.626DPartial traumatic transphalangeal amputation of right little finger, subsequent encounter
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)
DefinitionPartial traumatic transphalangeal amputation of right little finger, initial encounter is a billable ICD-10-CM diagnosis code (S68.626A).Partial traumatic transphalangeal amputation of right little finger, subsequent encounter is a billable ICD-10-CM diagnosis code (S68.626D).
7th characterThe appropriate 7th character is to be added to each code from category S68The appropriate 7th character is to be added to each code from category S68
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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