2027 ICD-10-CM Diagnosis Code S78Traumatic amputation of hip and thigh

ICD-10-CM Codes›S00–T88›S70-S79›S78

ICD-10-CM S78
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S78 is a non-billable ICD-10-CM category code for traumatic amputation of hip and thigh, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S78.011A, S78.011D, S78.011S, and S78.012A.

Code Identity

ICD-10-CM Code
S78
Billable Status
No — Non-Billable Category
Code Describes
Traumatic amputation of hip and thigh
Short Description
Traumatic amputation of hip and thigh
Same as the full description in the CMS dataset.
Chapter
S70-S79
Injuries to the hip and thigh

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS70-S79Injuries to the hip and thigh
CategoryS78Traumatic amputation of hip and thigh
This CodeS78Traumatic amputation of hip and thigh

Specific Coding for Traumatic amputation of hip and thighOverview

Non-specific codes like S78 require more characters. Use one of these billable codes instead:

  • S78.0 for Traumatic amputation at hip joint

  • S78.01 for Complete traumatic amputation at hip joint

  • S78.02 for Partial traumatic amputation at hip joint

  • S78.1 for Traumatic amputation at level between hip and knee

  • S78.11 for Complete traumatic amputation at level between hip and knee

  • S78.12 for Partial traumatic amputation at level between hip and knee

  • S78.9 for Traumatic amputation of hip and thigh, level unspecified

  • S78.91 for Complete traumatic amputation of hip and thigh, level unspecified

  • S78.92 for Partial traumatic amputation of hip and thigh, level unspecified

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Traumatic amputation of hip and thigh (S78). Use the following options for the applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S78: its own notes plus those printed at block S70-S79 and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • An amputation not identified as partial or complete should be coded to complete

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • traumatic amputation of knee (S88.0-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block S70-S79 Injuries to the hip and thigh applies to 3,546 codes
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

  • The appropriate 7th character is to be added to each code from category S78
Values for category S78 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name S78, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming S78: they are not reported together with it, unless the two conditions are unrelated.

  • S71 Open wound of hip and thigh
    traumatic amputation of hip and thigh (S78.-)
  • S72 Fracture of femur
    traumatic amputation of hip and thigh (S78.-)

Patient EducationClinical

Limb Loss

People can lose all or part of an arm or leg for many reasons. Common ones include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S78Overview

What is the ICD-10 code for traumatic amputation of hip and thigh?

S78 is the ICD-10-CM category for traumatic amputation of hip and thigh, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is S78 (Traumatic amputation of hip and thigh) a billable code?

No. This is a category header that groups the codes for traumatic amputation of hip and thigh, and headers cannot be submitted on claims. Claims for traumatic amputation of hip and thigh need a more specific code from this category, such as S78.011A, S78.011D, and S78.011S.

Can S78 be reported with a code from S88.0?

Not as a rule. The Excludes1 note on S78 lists "traumatic amputation of knee (S88.0-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).