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S23.29XA vs S23.29XD

S23.29XA (Dislocation of other parts of thorax, initial encounter) compared with S23.29XD (Dislocation of other parts of thorax, subsequent encounter), from the official CMS tabular data. S23.29XA and S23.29XD code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. S23.29XA and S23.29XD 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

S23.29XADislocation of other parts of thorax, initial encounterS23.29XDDislocation of other parts of thorax, 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)
DefinitionDislocation of other parts of thorax, initial encounter is a billable ICD-10-CM diagnosis code (S23.29A).Dislocation of other parts of thorax, subsequent encounter is a billable ICD-10-CM diagnosis code (S23.29D).
7th characterThe appropriate 7th character is to be added to each code from category S23The 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