S95.812A (Laceration of other blood vessels at ankle and foot level, left leg, initial encounter) compared with S95.812S (Laceration of other blood vessels at ankle and foot level, left leg, sequela), from the official CMS tabular data. S95.812A and S95.812S 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. S95.812A and S95.812S 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.
| S95.812ALaceration of other blood vessels at ankle and foot level, left leg, initial encounter | S95.812SLaceration of other blood vessels at ankle and foot level, left leg, 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 | Laceration of other blood vessels at ankle and foot level, left leg, initial encounter is a billable ICD-10-CM diagnosis code (S95.812A). | Laceration of other blood vessels at ankle and foot level, left leg, sequela is a billable ICD-10-CM diagnosis code (S95.812S). |
| 7th character | The appropriate 7th character is to be added to each code from category S95 | The appropriate 7th character is to be added to each code from category S95 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources