S34.111A — Complete lesion of L1 level of lumbar spinal cord, initial encounter
S34.111A is a billable, specific ICD-10-CM code for complete lesion of l1 level of lumbar spinal cord, 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 S34
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Complete lesion of lumbar spinal cord level 1
Risk adjustment
S34.111A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 182 Spinal Cord Disorders/Injuries0.478 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
S34.111A is named in 16 Medicare coverage policies — 16 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
- A56619Billing and Coding: Nerve Conduction Studies and Electromyography
- A56722Billing and Coding: Intraoperative Neurophysiological Testing
Related codes at this level
Codes that share S34.111. If S34.111A is not quite right, the correct code is usually one of these.
Questions about S34.111A
- Is S34.111A a billable ICD-10-CM code?
- Yes. S34.111A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S34.111A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).