S98.019A — Complete traumatic amputation of unspecified foot at ankle level, initial encounter
S98.019A is a billable, specific ICD-10-CM code for complete traumatic amputation of unspecified foot at ankle level, 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 S98
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S98.019A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 405 Traumatic Amputations and Complications0.598 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
S98.019A is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52481Orthopedic Footwear - Policy Article
Related codes at this level
Codes that share S98.019. If S98.019A is not quite right, the correct code is usually one of these.
Questions about S98.019A
- Is S98.019A a billable ICD-10-CM code?
- Yes. S98.019A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S98.019A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the ankle and foot (S90-S99).