S09.301S
S09.301S — Unspecified injury of right middle and inner ear, sequela
Billable / specific codeICD-10-CMPOA exemptright
S09.301S is a billable, specific ICD-10-CM code for unspecified injury of right middle and inner ear, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S09
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S09.301S does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S09.301S is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53064Billing and Coding: Outpatient Occupational Therapy
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share S09.301. If S09.301S is not quite right, the correct code is usually one of these.
Questions about S09.301S
- Is S09.301S a billable ICD-10-CM code?
- Yes. S09.301S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S09.301S sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the head (S00-S09).