S74.91XA

S74.91XA: Injury of unspecified nerve at hip and thigh level, right leg, initial encounter

Billable / specific codeICD-10-CMright

S74.91XA is a billable, specific ICD-10-CM code for injury of unspecified nerve at hip and thigh level, right leg, initial encounter. It is valid for submission on a claim.

Check S74.91XA with the rest of the claim: free scrubber

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

Excludes2 inherited from the categories above S74.91XA

Not part of this code, but both may be coded when both are present.

Written on S74: Injury of nerves at hip and thigh level

injury of nerves at ankle and foot level (S94.-)
injury of nerves at lower leg level (S84.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S74.91XA is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53065Billing and Coding: Outpatient Physical Therapy
A54969Billing and Coding: Nerve Conduction Studies and Electromyography
A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
A56607Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)

Code history

Unchanged in every release from FY2024 to FY2027.