S74.21XA
S74.21XA — Injury of cutaneous sensory nerve at hip and thigh level, right leg, initial encounter
Billable / specific codeICD-10-CMright
S74.21XA is a billable, specific ICD-10-CM code for injury of cutaneous sensory nerve at hip and thigh level, right leg, 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 S74
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S74.21XA 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
S74.21XA is named in 16 Medicare coverage policies — 16 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53065Billing and Coding: Outpatient Physical Therapy
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- 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 S74.21. If S74.21XA is not quite right, the correct code is usually one of these.
Questions about S74.21XA
- Is S74.21XA a billable ICD-10-CM code?
- Yes. S74.21XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S74.21XA 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).