S45.991D — Other specified injury of unspecified blood vessel at shoulder and upper arm level, right arm, subsequent encounter
S45.991D is a billable, specific ICD-10-CM code for other specified injury of unspecified blood vessel at shoulder and upper arm level, right arm, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category S45
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S45.991D 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
S45.991D is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56758Billing and Coding: Non-Invasive Vascular Studies
Related codes at this level
Codes that share S45.991. If S45.991D is not quite right, the correct code is usually one of these.
Questions about S45.991D
- Is S45.991D a billable ICD-10-CM code?
- Yes. S45.991D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S45.991D sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the shoulder and upper arm (S40-S49).