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S99.821A vs S99.821S

S99.821A (Other specified injuries of right foot, initial encounter) compared with S99.821S (Other specified injuries of right foot, sequela), from the official CMS tabular data. S99.821A and S99.821S code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

S99.821A
Initial encounter
Other specified injuries of right foot, initial encounter
S99.821S
Sequela
Other specified injuries of right 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. S99.821A and S99.821S 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

S99.821AOther specified injuries of right foot, initial encounterS99.821SOther specified injuries of right 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)
DefinitionOther specified injuries of right foot, initial encounter is a billable ICD-10-CM diagnosis code (S99.821A).Other specified injuries of right foot, sequela is a billable ICD-10-CM diagnosis code (S99.821S).
7th characterThe appropriate 7th character is to be added to each code from subcategory S99.8The appropriate 7th character is to be added to each code from subcategory S99.8

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