S55.011D
S55.011D — Laceration of ulnar artery at forearm level, right arm, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptright
S55.011D is a billable, specific ICD-10-CM code for laceration of ulnar artery 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 S55
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S55.011D 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
S55.011D is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56758Billing and Coding: Non-Invasive Vascular Studies
- A56758Billing and Coding: Non-Invasive Vascular Studies
- A60314Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
- A60315Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Related codes at this level
Codes that share S55.011. If S55.011D is not quite right, the correct code is usually one of these.
Questions about S55.011D
- Is S55.011D a billable ICD-10-CM code?
- Yes. S55.011D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S55.011D 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).