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S04.031S vs S04.039S

S04.031S (Injury of optic tract and pathways, right side, sequela) compared with S04.039S (Injury of optic tract and pathways, unspecified side, sequela), from the official CMS tabular data. S04.031S and S04.039S code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S04.031S
Right
Injury of optic tract and pathways, right side, sequela
S04.039S
Unspecified
Injury of optic tract and pathways, unspecified side, sequela

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S04.031S and S04.039S name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S04.031SInjury of optic tract and pathways, right side, sequelaS04.039SInjury of optic tract and pathways, unspecified side, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionInjury of optic tract and pathways, right side, sequela is a billable ICD-10-CM diagnosis code (S04.031S).Injury of optic tract and pathways, unspecified side, sequela is a billable ICD-10-CM diagnosis code (S04.039S).
7th characterThe appropriate 7th character is to be added to each code from category S04The appropriate 7th character is to be added to each code from category S04
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
Use additional code
code to identify any visual field defect or blindness (H53.4-, H54.-)
code to identify any visual field defect or blindness (H53.4-, H54.-)
Code first
any associated intracranial injury (S06.-)
any associated intracranial injury (S06.-)

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