Valid for Submission
S48.119A is a billable diagnosis code used to specify a medical diagnosis of complete traumatic amputation at level between unspecified shoulder and elbow, initial encounter. The code S48.119A is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S48.119A might also be used to specify conditions or terms like absence of upper arm or traumatic amputation, above elbow.
S48.119A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like complete traumatic amputation at level between unspecified shoulder and elbow. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Unspecified diagnosis codes like S48.119A are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
The appropriate 7th character is to be added to each code from block Traumatic amputation of shoulder and upper arm (S48). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Absence of upper arm
- Traumatic amputation, above elbow
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|913||TRAUMATIC INJURY WITH MCC||21||1.6364|
|914||TRAUMATIC INJURY WITHOUT MCC||21||0.8886|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert S48.119A to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S48.119A its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
People can lose all or part of an arm or leg for a number of reasons. Common ones include
- Problems with blood circulation. These may be the result of atherosclerosis or diabetes. Severe cases may result in amputation.
- Injuries, including from traffic accidents and military combat
- Birth defects
Some amputees have phantom pain, which is the feeling of pain in the missing limb. Other physical problems include surgical complications and skin problems, if you wear an artificial limb. Many amputees use an artificial limb. Learning how to use it takes time. Physical therapy can help you adapt.
Recovery from the loss of a limb can be hard. Sadness, anger, and frustration are common. If you are having a tough time, talk to your doctor. Treatment with medicine or counseling can help.
[Learn More in MedlinePlus]