ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 S88

Non-Billable Header

Traumatic amputation of lower leg

S88
Block
1
Synonyms
0
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM S88

ICD-10-CM code S88 represents Traumatic amputation of lower leg. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block S88). The 2026 edition of ICD-10-CM S88 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Coding Tips for S88

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Injury chapter (S00-T88): 7th character extension required

Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under S88. Per CMS ICD-10-CM Tabular 2026.

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

Type 1 Excludes

Pure excludes, these codes can never be coded together with S88. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • traumatic amputation of ankle and foot (S98.-)

Coding Notes

Seven Chr Note

  • The appropriate 7th character is to be added to each code from category S88

Medicare LCD Coverage for S88

Local Coverage Determinations (LCDs) from CMS MACs that list S88 as a covered diagnosis.

No Medicare LCDs reference S88 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing S88.

1 policies

1 Aetna

Aldesleukin (Proleukin) - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0024

CPT Codes Commonly Billed with S88

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for S88

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

ICD-10 S88, Billing FAQ

Is ICD-10 code S88 billable? +

No, S88 is a non-billable header code. Use a more specific child code from block S88 when submitting claims.

What other names or terms map to S88? +

ICD-10 S88 includes: An amputation not identified as partial or complete should be coded to complete.

What codes are Type 1 Excludes for S88? +

Type 1 Excludes (never code together with S88): traumatic amputation of ankle and foot (S98.-)

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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