S28.221A
S28.221A — Partial traumatic amputation of right breast, initial encounter
Billable / specific codeICD-10-CMright
S28.221A is a billable, specific ICD-10-CM code for partial traumatic amputation of right breast, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S28
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S28.221A 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
S28.221A is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52438Billing and Coding: Tetanus Immunization
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A55909Billing and Coding: Wound Care
- A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Related codes at this level
Codes that share S28.221. If S28.221A is not quite right, the correct code is usually one of these.
Questions about S28.221A
- Is S28.221A a billable ICD-10-CM code?
- Yes. S28.221A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S28.221A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the thorax (S20-S29).