S83.512A (Sprain of anterior cruciate ligament of left knee, initial encounter) compared with S83.512D (Sprain of anterior cruciate ligament of left knee, subsequent encounter), from the official CMS tabular data. S83.512A and S83.512D code the same injury at a different phase of treatment.
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. S83.512A and S83.512D 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.
| S83.512ASprain of anterior cruciate ligament of left knee, initial encounter | S83.512DSprain of anterior cruciate ligament of left knee, subsequent encounter | |
|---|---|---|
| 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 | Sprain of anterior cruciate ligament of left knee, initial encounter is a billable ICD-10-CM diagnosis code (S83.512A). | Sprain of anterior cruciate ligament of left knee, subsequent encounter is a billable ICD-10-CM diagnosis code (S83.512D). |
| 7th character | The appropriate 7th character is to be added to each code from category S83 | The appropriate 7th character is to be added to each code from category S83 |
| Includes | avulsion of joint or ligament of knee laceration of cartilage, joint or ligament of knee sprain of cartilage, joint or ligament of knee traumatic hemarthrosis of joint or ligament of knee | avulsion of joint or ligament of knee laceration of cartilage, joint or ligament of knee sprain of cartilage, joint or ligament of knee traumatic hemarthrosis of joint or ligament of knee |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources