S92.121A (Displaced fracture of body of right talus, initial encounter for closed fracture)
compared with
S92.121P (Displaced fracture of body of right talus, subsequent encounter for fracture with malunion),
from the official CMS tabular data. S92.121A and S92.121P code the same injury at a different phase of treatment.
Displaced fracture of body of right talus, subsequent encounter for fracture with malunion
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. S92.121A and S92.121P 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.