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T79.6XXA vs T79.6XXD

T79.6XXA (Traumatic ischemia of muscle, initial encounter) compared with T79.6XXD (Traumatic ischemia of muscle, subsequent encounter), from the official CMS tabular data. T79.6XXA and T79.6XXD code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

T79.6XXA
Initial encounter
Traumatic ischemia of muscle, initial encounter
T79.6XXD
Subsequent encounter
Traumatic ischemia of muscle, subsequent encounter

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. T79.6XXA and T79.6XXD 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

T79.6XXATraumatic ischemia of muscle, initial encounterT79.6XXDTraumatic ischemia of muscle, subsequent encounter
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)
DefinitionTraumatic ischemia of muscle, initial encounter is a billable ICD-10-CM diagnosis code (T79.6A).Traumatic ischemia of muscle, subsequent encounter is a billable ICD-10-CM diagnosis code (T79.6D).
7th characterThe appropriate 7th character is to be added to each code from category T79The appropriate 7th character is to be added to each code from category T79
Includes
Traumatic rhabdomyolysis
Volkmann's ischemic contracture
Traumatic rhabdomyolysis
Volkmann's ischemic contracture

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