S48.919A — Complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter
S48.919A is a billable, specific ICD-10-CM code for complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, 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
S48.919A 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
S48.919A 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.
- A52438Billing and Coding: Tetanus Immunization
Related codes at this level
Codes that share S48.919. If S48.919A is not quite right, the correct code is usually one of these.
Questions about S48.919A
- Is S48.919A a billable ICD-10-CM code?
- Yes. S48.919A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S48.919A 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).