S48.111A — Complete traumatic amputation at level between right shoulder and elbow, initial encounter
S48.111A is a billable, specific ICD-10-CM code for complete traumatic amputation at level between right shoulder and elbow, 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 S48
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S48.111A 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
S48.111A 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.
- A52438Billing and Coding: Tetanus Immunization
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56459Billing and Coding: Debridement Services
- A56631Billing and Coding: Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography
Code history
S48.111A has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S48.111. If S48.111A is not quite right, the correct code is usually one of these.
Questions about S48.111A
- Is S48.111A a billable ICD-10-CM code?
- Yes. S48.111A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S48.111A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the shoulder and upper arm (S40-S49).