S48.121S
S48.121S: Partial traumatic amputation at level between right shoulder and elbow, sequela
Billable / specific codeICD-10-CMPOA exemptright
S48.121S is a billable, specific ICD-10-CM code for partial traumatic amputation at level between right shoulder and elbow, sequela. It is valid for submission on a claim.
Check S48.121S with the rest of the claim: free scrubber7th character "S": sequela
The appropriate 7th character is to be added to each code from category S48
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Other codes that can never be billed with S48.121S
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S48.121S is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.