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S96.922A vs S96.922S

S96.922A (Laceration of unspecified muscle and tendon at ankle and foot level, left foot, initial encounter) compared with S96.922S (Laceration of unspecified muscle and tendon at ankle and foot level, left foot, sequela), from the official CMS tabular data. S96.922A and S96.922S code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S96.922A
Initial encounter
Laceration of unspecified muscle and tendon at ankle and foot level, left foot, initial encounter
↔
S96.922S
Sequela
Laceration of unspecified muscle and tendon 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. S96.922A and S96.922S 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

S96.922ALaceration of unspecified muscle and tendon at ankle and foot level, left foot, initial encounterS96.922SLaceration of unspecified muscle and tendon at ankle and foot level, left foot, sequela
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 unspecified muscle and tendon at ankle and foot level, left foot, initial encounter is a billable ICD-10-CM diagnosis code (S96.922A).Laceration of unspecified muscle and tendon at ankle and foot level, left foot, sequela is a billable ICD-10-CM diagnosis code (S96.922S).
7th characterThe appropriate 7th character is to be added to each code from category S96The appropriate 7th character is to be added to each code from category S96
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources