S58.11 — Complete traumatic amputation at level between elbow and wrist
S58.11 is a non-billable header ICD-10-CM code for complete traumatic amputation at level between elbow and wrist. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category S58
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above S58.11
These are not written on S58.11, but they bind it: a note on a category applies to every code beneath it. Billing S58.11 with anything listed here is a denial.
Other codes that can never be billed with S58.11
These codes carry an Excludes1 note pointing at S58.11. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S58.11 alone.
Risk adjustment
S58.11 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.
Code history
S58.11 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead S58.11
3 child codes. Green means billable.
Related codes at this level
Codes that share S58.1. If S58.11 is not quite right, the correct code is usually one of these.
Questions about S58.11
- Is S58.11 a billable ICD-10-CM code?
- No. S58.11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S58.11 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).
- What cannot be coded together with S58.11?
- S58.11 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S58.11 (S58) and apply to it just the same.