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S74.12XA vs S74.12XD

S74.12XA (Injury of femoral nerve at hip and thigh level, left leg, initial encounter) compared with S74.12XD (Injury of femoral nerve at hip and thigh level, left leg, subsequent encounter), from the official CMS tabular data. S74.12XA and S74.12XD code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S74.12XA
Initial encounter
Injury of femoral nerve at hip and thigh level, left leg, initial encounter
↔
S74.12XD
Subsequent encounter
Injury of femoral nerve at hip and thigh level, left leg, 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. S74.12XA and S74.12XD 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

S74.12XAInjury of femoral nerve at hip and thigh level, left leg, initial encounterS74.12XDInjury of femoral nerve at hip and thigh level, left leg, 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)
DefinitionInjury of femoral nerve at hip and thigh level, left leg, initial encounter is a billable ICD-10-CM diagnosis code (S74.12A).Injury of femoral nerve at hip and thigh level, left leg, subsequent encounter is a billable ICD-10-CM diagnosis code (S74.12D).
7th characterThe appropriate 7th character is to be added to each code from category S74The appropriate 7th character is to be added to each code from category S74
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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