S88.111D
S88.111D: Complete traumatic amputation at level between knee and ankle, right lower leg, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptright
S88.111D is a billable, specific ICD-10-CM code for complete traumatic amputation at level between knee and ankle, right lower leg, subsequent encounter. It is valid for submission on a claim.
Check S88.111D with the rest of the claim: free scrubber7th character "D": subsequent encounter
The appropriate 7th character is to be added to each code from category S88
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Other codes that can never be billed with S88.111D
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S88.111D is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.