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S20.223A vs S20.229A

S20.223A (Contusion of bilateral back wall of thorax, initial encounter) compared with S20.229A (Contusion of unspecified back wall of thorax, initial encounter), from the official CMS tabular data. S20.223A and S20.229A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S20.223A
Bilateral
Contusion of bilateral back wall of thorax, initial encounter
S20.229A
Unspecified
Contusion of unspecified back wall of thorax, 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. S20.223A and S20.229A 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

S20.223AContusion of bilateral back wall of thorax, initial encounterS20.229AContusion of unspecified back wall of thorax, 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)
DefinitionContusion of bilateral back wall of thorax, initial encounter is a billable ICD-10-CM diagnosis code (S20.223A).Contusion of unspecified back wall of thorax, initial encounter is a billable ICD-10-CM diagnosis code (S20.229A).
7th characterThe appropriate 7th character is to be added to each code from category S20The appropriate 7th character is to be added to each code from category S20
Includes
injuries of breast
injuries of chest (wall)
injuries of interscapular area
injuries of breast
injuries of chest (wall)
injuries of interscapular area

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