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S24.103A vs S24.103D

S24.103A (Unspecified injury at T7-T10 level of thoracic spinal cord, initial encounter) compared with S24.103D (Unspecified injury at T7-T10 level of thoracic spinal cord, subsequent encounter), from the official CMS tabular data. S24.103A and S24.103D code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. S24.103A and S24.103D 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

S24.103AUnspecified injury at T7-T10 level of thoracic spinal cord, initial encounterS24.103DUnspecified injury at T7-T10 level of thoracic spinal cord, 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)
DefinitionUnspecified injury at T7-T10 level of thoracic spinal cord, initial encounter is a billable ICD-10-CM diagnosis code (S24.103A).Unspecified injury at T7-T10 level of thoracic spinal cord, subsequent encounter is a billable ICD-10-CM diagnosis code (S24.103D).
7th characterThe appropriate 7th character is to be added to each code from category S24The appropriate 7th character is to be added to each code from category S24
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