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S15.029A vs S15.029D

S15.029A (Major laceration of unspecified carotid artery, initial encounter) compared with S15.029D (Major laceration of unspecified carotid artery, subsequent encounter), from the official CMS tabular data. S15.029A and S15.029D code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

S15.029A
Initial encounter
Major laceration of unspecified carotid artery, initial encounter
S15.029D
Subsequent encounter
Major laceration of unspecified carotid artery, subsequent encounter

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. S15.029A and S15.029D 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

S15.029AMajor laceration of unspecified carotid artery, initial encounterS15.029DMajor laceration of unspecified carotid artery, subsequent 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)
DefinitionMajor laceration of unspecified carotid artery, initial encounter is a billable ICD-10-CM diagnosis code (S15.029A).Major laceration of unspecified carotid artery, subsequent encounter is a billable ICD-10-CM diagnosis code (S15.029D).
7th characterThe appropriate 7th character is to be added to each code from category S15The appropriate 7th character is to be added to each code from category S15
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