2027 ICD-10-CM Diagnosis Code S78.922DPartial traumatic amputation of left hip and thigh, level unspecified, subsequent encounter
ICD-10-CM Codes›S00–T88›S70-S79›S78
- Billable — Valid for Submission
- POA Exempt
- 7th Character D — Subsequent Encounter
- Chronic Condition
S78.922D is a billable ICD-10-CM diagnosis code for partial traumatic amputation of left hip and thigh, level unspecified, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Amputation of a limb, subsequent encounter.
S78.922D no longer risk-adjusts for Medicare Advantage: it mapped to HCC 189 under the retired CMS-HCC V24 model through payment year 2025 but maps to no category in the live V28 model. It still risk-adjusts in the PACE (CMS-HCC V22) category 189, ESRD (V21) category 189, and ESRD (V24) category 189 for payment year 2027.
Code Identity
Code Classification
Present on Admission (POA)Billing
S78.922D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the hip and thigh (S70-S79).
Medicare Risk Adjustment (HCC)Billing
S78.922D no longer risk-adjusts for Medicare Advantage: it maps to no payment category in the live CMS-HCC V28 model, although it still risk-adjusts in the other CMS models shown below.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
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 S78.922D: its own notes plus those printed at S78, block S70-S79, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
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.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- 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
- Ainitial encounter
- Dsubsequent encounter this code
- 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 S78.922D, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming S78.922D: they are not reported together with it, unless the two conditions are unrelated.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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.
Convert S78.922D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S78.922DOverview
Is S78.922D a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report partial traumatic amputation of left hip and thigh, level unspecified, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character D in S78.922D mean?
The final character D marks a subsequent encounter: use it for routine care while the partial traumatic amputation of left hip and thigh, level unspecified is healing, after active treatment has ended.
What MS-DRG does S78.922D group to?
When partial traumatic amputation of left hip and thigh, level unspecified, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S78.922D exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for partial traumatic amputation of left hip and thigh, level unspecified, subsequent encounter on inpatient claims. The code appears in the Injuries to the hip and thigh (S70-S79) range of the CMS exempt list.
Can S78.922D be reported with a code from S88.0?
Not as a rule. The Excludes1 note at S78, which applies to S78.922D, 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).
Does S78.922D risk-adjust for Medicare Advantage payment?
Not for Medicare Advantage. S78.922D mapped to HCC 189 in the retired CMS-HCC V24 model, which last determined payment in 2025, but it maps to no category in the live V28 model; see all codes that no longer risk-adjust. It still risk-adjusts in the PACE (CMS-HCC V22) category 189 (Amputation Status/Lower Limb/Amputation Complications), ESRD (V21) category 189 (Amputation Status/Lower Limb/Amputation Complications), and ESRD (V24) category 189 (Amputation Status/Lower Limb/Amputation Complications).
