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S21.91XD vs S28.1

S21.91XD (Laceration without foreign body of unspecified part of thorax, subsequent encounter) compared with S28.1 (Traumatic amputation (partial) of part of thorax, except breast), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. S21.91XD carries an Excludes1 note covering S28.1: “traumatic amputation (partial) of thorax (S28.1)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

S21.91XDLaceration without foreign body of unspecified part of thorax, subsequent encounterS28.1Traumatic amputation (partial) of part of thorax, except breast
Billing statusBillableNon-billable header

Report instead: S28.1XXA, S28.1XXD, S28.1XXS

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)
DefinitionLaceration without foreign body of unspecified part of thorax, subsequent encounter is a billable ICD-10-CM diagnosis code (S21.91D).Traumatic amputation (partial) of part of thorax, except breast is a non-billable ICD-10-CM category code (S28.1).
7th characterThe appropriate 7th character is to be added to each code from category S21The appropriate 7th character is to be added to each code from category S28
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