S54.91XD
S54.91XD — Injury of unspecified nerve at forearm level, right arm, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptright
S54.91XD is a billable, specific ICD-10-CM code for injury of unspecified nerve at forearm 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 S54
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S54.91XD 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
S54.91XD is named in 7 Medicare coverage policies — 7 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
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
- A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Related codes at this level
Codes that share S54.91. If S54.91XD is not quite right, the correct code is usually one of these.
Questions about S54.91XD
- Is S54.91XD a billable ICD-10-CM code?
- Yes. S54.91XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S54.91XD sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the elbow and forearm (S50-S59).