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S25.109A vs S25.109S

S25.109A (Unspecified injury of unspecified innominate or subclavian artery, initial encounter) compared with S25.109S (Unspecified injury of unspecified innominate or subclavian artery, sequela), from the official CMS tabular data. S25.109A and S25.109S code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. S25.109A and S25.109S 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

S25.109AUnspecified injury of unspecified innominate or subclavian artery, initial encounterS25.109SUnspecified injury of unspecified innominate or subclavian artery, sequela
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 of unspecified innominate or subclavian artery, initial encounter is a billable ICD-10-CM diagnosis code (S25.109A).Unspecified injury of unspecified innominate or subclavian artery, sequela is a billable ICD-10-CM diagnosis code (S25.109S).
7th characterThe appropriate 7th character is to be added to each code from category S25The appropriate 7th character is to be added to each code from category S25
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