S48.012A — Complete traumatic amputation at left shoulder joint, initial encounter
S48.012A is a billable, specific ICD-10-CM code for complete traumatic amputation at left shoulder joint, 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 S48
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S48.012A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 405 Traumatic Amputations and Complications0.598 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
S48.012A 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
- A56459Billing and Coding: Debridement Services
- A56631Billing and Coding: Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography
Related codes at this level
Codes that share S48.012. If S48.012A is not quite right, the correct code is usually one of these.
Questions about S48.012A
- Is S48.012A a billable ICD-10-CM code?
- Yes. S48.012A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S48.012A 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).