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S73.013A vs S73.013D

S73.013A (Posterior subluxation of unspecified hip, initial encounter) compared with S73.013D (Posterior subluxation of unspecified hip, subsequent encounter), from the official CMS tabular data. S73.013A and S73.013D code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S73.013A
Initial encounter
Posterior subluxation of unspecified hip, initial encounter
S73.013D
Subsequent encounter
Posterior subluxation of unspecified hip, 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. S73.013A and S73.013D 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

S73.013APosterior subluxation of unspecified hip, initial encounterS73.013DPosterior subluxation of unspecified hip, 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)
DefinitionPosterior subluxation of unspecified hip, initial encounter is a billable ICD-10-CM diagnosis code (S73.013A).Posterior subluxation of unspecified hip, subsequent encounter is a billable ICD-10-CM diagnosis code (S73.013D).
7th characterThe appropriate 7th character is to be added to each code from category S73The appropriate 7th character is to be added to each code from category S73
Includes
avulsion of joint or ligament of hip
laceration of cartilage, joint or ligament of hip
sprain of cartilage, joint or ligament of hip
traumatic hemarthrosis of joint or ligament of hip
avulsion of joint or ligament of hip
laceration of cartilage, joint or ligament of hip
sprain of cartilage, joint or ligament of hip
traumatic hemarthrosis of joint or ligament of hip

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