S88.111A (Complete traumatic amputation at level between knee and ankle, right lower leg, initial encounter)
compared with
S88.111D (Complete traumatic amputation at level between knee and ankle, right lower leg, subsequent encounter),
from the official CMS tabular data. S88.111A and S88.111D code the same injury at a different phase of treatment.
Complete traumatic amputation at level between knee and ankle, right lower 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. S88.111A and S88.111D 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.
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
Complete traumatic amputation at level between knee and ankle, right lower leg, initial encounter is a billable ICD-10-CM diagnosis code (S88.111A).
Complete traumatic amputation at level between knee and ankle, right lower leg, subsequent encounter is a billable ICD-10-CM diagnosis code (S88.111D).
7th character
The appropriate 7th character is to be added to each code from category S88
The appropriate 7th character is to be added to each code from category S88