S78.12 — Partial traumatic amputation at level between hip and knee
S78.12 is a non-billable header ICD-10-CM code for partial traumatic amputation at level between hip and knee. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category S78
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above S78.12
These are not written on S78.12, but they bind it: a note on a category applies to every code beneath it. Billing S78.12 with anything listed here is a denial.
Other codes that can never be billed with S78.12
These codes carry an Excludes1 note pointing at S78.12. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S78.12 alone.
Risk adjustment
S78.12 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.
Code history
S78.12 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead S78.12
3 child codes. Green means billable.
Related codes at this level
Codes that share S78.1. If S78.12 is not quite right, the correct code is usually one of these.
Questions about S78.12
- Is S78.12 a billable ICD-10-CM code?
- No. S78.12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S78.12 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).
- What cannot be coded together with S78.12?
- S78.12 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 S78.12 (S78.1, S78) and apply to it just the same.