S11.21XS (Laceration without foreign body of pharynx and cervical esophagus, sequela) compared with S12 (Fracture of cervical vertebra and other parts of neck), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“open fracture of vertebra (S12.- with 7th character B)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. S11.21XS carries an Excludes2 note covering S12: “open fracture of vertebra (S12.- with 7th character B)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S11.21XSLaceration without foreign body of pharynx and cervical esophagus, sequela | S12Fracture of cervical vertebra and other parts of neck | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S12.000A, S12.000B, S12.000D, S12.000G, S12.000K |
| Classification | S00-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) |
| Definition | Laceration without foreign body of pharynx and cervical esophagus, sequela is a billable ICD-10-CM diagnosis code (S11.21S). | Fracture of cervical vertebra and other parts of neck is a non-billable ICD-10-CM category code (S12). |
| 7th character | The appropriate 7th character is to be added to each code from category S11 | The appropriate 7th character is to be added to all codes from subcategories S12.0-S12.6 |
| Includes | injuries of nape injuries of supraclavicular region injuries of throat | fracture of cervical neural arch fracture of cervical spine fracture of cervical spinous process fracture of cervical transverse process |
| Code first | — | any associated cervical spinal cord injury (S14.0, S14.1-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources