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T20.411A vs T20.411S

T20.411A (Corrosion of unspecified degree of right ear [any part, except ear drum], initial encounter) compared with T20.411S (Corrosion of unspecified degree of right ear [any part, except ear drum], sequela), from the official CMS tabular data. T20.411A and T20.411S code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

T20.411A
Initial encounter
Corrosion of unspecified degree of right ear [any part, except ear drum], initial encounter
T20.411S
Sequela
Corrosion of unspecified degree of right ear [any part, except ear drum], 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. T20.411A and T20.411S 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

T20.411ACorrosion of unspecified degree of right ear [any part, except ear drum], initial encounterT20.411SCorrosion of unspecified degree of right ear [any part, except ear drum], 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)
DefinitionCorrosion of unspecified degree of right ear [any part, except ear drum], initial encounter is a billable ICD-10-CM diagnosis code (T20.411A).Corrosion of unspecified degree of right ear [any part, except ear drum], sequela is a billable ICD-10-CM diagnosis code (T20.411S).
7th characterThe appropriate 7th character is to be added to each code from category T20The appropriate 7th character is to be added to each code from category T20
Includes
burns and corrosions of first degree [erythema]
burns and corrosions of second degree [blisters][epidermal loss]
burns and corrosions of third degree [deep necrosis of underlying tissue] [full- thickness skin loss]
burns and corrosions of first degree [erythema]
burns and corrosions of second degree [blisters][epidermal loss]
burns and corrosions of third degree [deep necrosis of underlying tissue] [full- thickness skin loss]
Use additional code
external cause code to identify place (Y92)
code from category T31 or T32 to identify extent of body surface involved
external cause code to identify place (Y92)
code from category T31 or T32 to identify extent of body surface involved
Code first
(T51-T65) to identify chemical and intent
(T51-T65) to identify chemical and intent

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