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S14.147A vs S14.147S

S14.147A (Brown-Séquard syndrome at C7 level of cervical spinal cord, initial encounter) compared with S14.147S (Brown-Séquard syndrome at C7 level of cervical spinal cord, sequela), from the official CMS tabular data. S14.147A and S14.147S code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. S14.147A and S14.147S 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

S14.147ABrown-Séquard syndrome at C7 level of cervical spinal cord, initial encounterS14.147SBrown-Séquard syndrome at C7 level of cervical spinal cord, 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)
DefinitionBrown-Séquard syndrome at C7 level of cervical spinal cord, initial encounter is a billable ICD-10-CM diagnosis code (S14.147A).Brown-Séquard syndrome at C7 level of cervical spinal cord, sequela is a billable ICD-10-CM diagnosis code (S14.147S).
7th characterThe appropriate 7th character is to be added to each code from category S14The appropriate 7th character is to be added to each code from category S14
Includes
injuries of nape
injuries of supraclavicular region
injuries of throat
injuries of nape
injuries of supraclavicular region
injuries of throat

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