S71.111A — Laceration without foreign body, right thigh, initial encounter
S71.111A is a billable, specific ICD-10-CM code for laceration without foreign body, right thigh, 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 S71
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S71.111A 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
S71.111A is named in 14 Medicare coverage policies — 12 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A52438Billing and Coding: Tetanus Immunization
- A53058Billing and Coding: Home Health Physical Therapy
Related codes at this level
Codes that share S71.111. If S71.111A is not quite right, the correct code is usually one of these.
Questions about S71.111A
- Is S71.111A a billable ICD-10-CM code?
- Yes. S71.111A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S71.111A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).