S96.122A (Laceration of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, initial encounter)
compared with
S96.122S (Laceration of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, sequela),
from the official CMS tabular data. S96.122A and S96.122S code the same injury at a different phase of treatment. MedCoder-derived
Laceration of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, sequela
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. S96.122A and S96.122S 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
Laceration of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, initial encounter is a billable ICD-10-CM diagnosis code (S96.122A).
Laceration of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, sequela is a billable ICD-10-CM diagnosis code (S96.122S).
7th character
The appropriate 7th character is to be added to each code from category S96
The appropriate 7th character is to be added to each code from category S96