Skip to main content

S95.819A vs S95.819D

S95.819A (Laceration of other blood vessels at ankle and foot level, unspecified leg, initial encounter) compared with S95.819D (Laceration of other blood vessels at ankle and foot level, unspecified leg, subsequent encounter), from the official CMS tabular data. S95.819A and S95.819D code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S95.819A
Initial encounter
Laceration of other blood vessels at ankle and foot level, unspecified leg, initial encounter
↔
S95.819D
Subsequent encounter
Laceration of other blood vessels at ankle and foot level, unspecified 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. S95.819A and S95.819D 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.

Side by side

S95.819ALaceration of other blood vessels at ankle and foot level, unspecified leg, initial encounterS95.819DLaceration of other blood vessels at ankle and foot level, unspecified leg, subsequent encounter
Billing statusBillableBillable
ClassificationS00-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)
DefinitionLaceration of other blood vessels at ankle and foot level, unspecified leg, initial encounter is a billable ICD-10-CM diagnosis code (S95.819A).Laceration of other blood vessels at ankle and foot level, unspecified leg, subsequent encounter is a billable ICD-10-CM diagnosis code (S95.819D).
7th characterThe appropriate 7th character is to be added to each code from category S95The appropriate 7th character is to be added to each code from category S95
Edit this comparisonCheck a whole claim

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources