S48.112D — Complete traumatic amputation at level between left shoulder and elbow, subsequent encounter
S48.112D is a billable, specific ICD-10-CM code for complete traumatic amputation at level between left shoulder and elbow, 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 S48
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S48.112D 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
S48.112D is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56631Billing and Coding: Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography
Related codes at this level
Codes that share S48.112. If S48.112D is not quite right, the correct code is usually one of these.
Questions about S48.112D
- Is S48.112D a billable ICD-10-CM code?
- Yes. S48.112D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S48.112D 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).