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S09.21XA vs S09.22XA

S09.21XA (Traumatic rupture of right ear drum, initial encounter) compared with S09.22XA (Traumatic rupture of left ear drum, initial encounter), from the official CMS tabular data. S09.21XA and S09.22XA code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S09.21XA
Right
Traumatic rupture of right ear drum, initial encounter
S09.22XA
Left
Traumatic rupture of left ear drum, initial encounter

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. S09.21XA and S09.22XA 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

S09.21XATraumatic rupture of right ear drum, initial encounterS09.22XATraumatic rupture of left ear drum, initial encounter
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)
DefinitionTraumatic rupture of right ear drum, initial encounter is a billable ICD-10-CM diagnosis code (S09.21A).Traumatic rupture of left ear drum, initial encounter is a billable ICD-10-CM diagnosis code (S09.22A).
7th characterThe appropriate 7th character is to be added to each code from category S09The appropriate 7th character is to be added to each code from category S09
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