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T33.511A vs T33.511S

T33.511A (Superficial frostbite of right wrist, initial encounter) compared with T33.511S (Superficial frostbite of right wrist, sequela), from the official CMS tabular data. T33.511A and T33.511S code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

T33.511A
Initial encounter
Superficial frostbite of right wrist, initial encounter
T33.511S
Sequela
Superficial frostbite of right wrist, 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. T33.511A and T33.511S 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

T33.511ASuperficial frostbite of right wrist, initial encounterT33.511SSuperficial frostbite of right wrist, 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)
DefinitionSuperficial frostbite of right wrist, initial encounter is a billable ICD-10-CM diagnosis code (T33.511A).Superficial frostbite of right wrist, sequela is a billable ICD-10-CM diagnosis code (T33.511S).
7th characterThe appropriate 7th character is to be added to each code from category T33The appropriate 7th character is to be added to each code from category T33
Includes
frostbite with partial thickness skin loss
frostbite with partial thickness skin loss

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