S58.911S — Complete traumatic amputation of right forearm, level unspecified, sequela
S58.911S is a billable, specific ICD-10-CM code for complete traumatic amputation of right forearm, level unspecified, sequela. It is valid for submission on a claim.
7th character "S" — sequela
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 S58.911S
These are not written on S58.911S, but they bind it: a note on a category applies to every code beneath it. Billing S58.911S with anything listed here is a denial.
Other codes that can never be billed with S58.911S
These codes carry an Excludes1 note pointing at S58.911S. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S58.911S alone.
Risk adjustment
S58.911S 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
S58.911S is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Code history
S58.911S has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S58.911. If S58.911S is not quite right, the correct code is usually one of these.
Questions about S58.911S
- Is S58.911S a billable ICD-10-CM code?
- Yes. S58.911S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S58.911S 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 S58.911S?
- S58.911S 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 S58.911S (S58.9, S58) and apply to it just the same.