S87.01XA
S87.01XA — Crushing injury of right knee, initial encounter
Billable / specific codeICD-10-CMright
S87.01XA is a billable, specific ICD-10-CM code for crushing injury of right knee, 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 S87
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S87.01XA 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
S87.01XA is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56459Billing and Coding: Debridement Services
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
- A56805Billing and Coding: Magnetic Resonance Angiography (MRA)
Related codes at this level
Codes that share S87.01. If S87.01XA is not quite right, the correct code is usually one of these.
Questions about S87.01XA
- Is S87.01XA a billable ICD-10-CM code?
- Yes. S87.01XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S87.01XA sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the knee and lower leg (S80-S89).