S88.919A (Complete traumatic amputation of unspecified lower leg, level unspecified, initial encounter) compared with S88.919S (Complete traumatic amputation of unspecified lower leg, level unspecified, sequela), from the official CMS tabular data. S88.919A and S88.919S 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. S88.919A and S88.919S 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.
| S88.919AComplete traumatic amputation of unspecified lower leg, level unspecified, initial encounter | S88.919SComplete traumatic amputation of unspecified lower leg, level unspecified, sequela | |
|---|---|---|
| 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 | Complete traumatic amputation of unspecified lower leg, level unspecified, initial encounter is a billable ICD-10-CM diagnosis code (S88.919A). | Complete traumatic amputation of unspecified lower leg, level unspecified, sequela is a billable ICD-10-CM diagnosis code (S88.919S). |
| 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 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources