S74.91XS
S74.91XS — Injury of unspecified nerve at hip and thigh level, right leg, sequela
Billable / specific codeICD-10-CMPOA exemptright
S74.91XS is a billable, specific ICD-10-CM code for injury of unspecified nerve at hip and thigh level, right leg, 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 S74
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S74.91XS 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
S74.91XS is named in 10 Medicare coverage policies — 10 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
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
Related codes at this level
Codes that share S74.91. If S74.91XS is not quite right, the correct code is usually one of these.
Questions about S74.91XS
- Is S74.91XS a billable ICD-10-CM code?
- Yes. S74.91XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S74.91XS 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).