BC Advantage - 2015 Issue 11

How do I know which seventh character to use with sprain and strain codes in ICD-10?

The sprain and strain codes offer three choices for the final character:A - initial encounterD - subsequent encounterS - sequelaThe "A" and the "D" might be used by payers three ways:The "A" for "initial encounter" applies only to the first visit, and the "D" for "subsequent encounter" is used for all visits that follow.The "A" is used for the first few weeks, while the patient receives passive modalities, then the "D" is used when rehab/exercises begin.The "A" is used for all treatments during the course of care, and the "D" would be applied if the patient switched...

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