S23.133A vs S23.133D
S23.133A (Dislocation of T5/T6 thoracic vertebra, initial encounter) compared with S23.133D (Dislocation of T5/T6 thoracic vertebra, subsequent encounter), from the official CMS tabular data. S23.133A and S23.133D code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S23.133A and S23.133D 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
| S23.133ADislocation of T5/T6 thoracic vertebra, initial encounter | S23.133DDislocation of T5/T6 thoracic vertebra, subsequent encounter | |
|---|---|---|
| Billing status | Billable | Billable |
| 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 | Dislocation of T5/T6 thoracic vertebra, initial encounter is a billable ICD-10-CM diagnosis code (S23.133A). | Dislocation of T5/T6 thoracic vertebra, subsequent encounter is a billable ICD-10-CM diagnosis code (S23.133D). |
| 7th character | The appropriate 7th character is to be added to each code from category S23 | The appropriate 7th character is to be added to each code from category S23 |
| Includes | avulsion of joint or ligament of thorax laceration of cartilage, joint or ligament of thorax sprain of cartilage, joint or ligament of thorax traumatic hemarthrosis of joint or ligament of thorax | avulsion of joint or ligament of thorax laceration of cartilage, joint or ligament of thorax sprain of cartilage, joint or ligament of thorax traumatic hemarthrosis of joint or ligament of thorax |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources