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S01.91XA vs S01.91XS

S01.91XA (Laceration without foreign body of unspecified part of head, initial encounter) compared with S01.91XS (Laceration without foreign body of unspecified part of head, sequela), from the official CMS tabular data. S01.91XA and S01.91XS code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S01.91XA
Initial encounter
Laceration without foreign body of unspecified part of head, initial encounter
S01.91XS
Sequela
Laceration without foreign body of unspecified part of head, sequela

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S01.91XA and S01.91XS code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

S01.91XALaceration without foreign body of unspecified part of head, initial encounterS01.91XSLaceration without foreign body of unspecified part of head, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionLaceration without foreign body of unspecified part of head, initial encounter is a billable ICD-10-CM diagnosis code (S01.91A).Laceration without foreign body of unspecified part of head, sequela is a billable ICD-10-CM diagnosis code (S01.91S).
7th characterThe appropriate 7th character is to be added to each code from category S01The appropriate 7th character is to be added to each code from category S01
Includes
injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum
injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources