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S25.191A vs S25.191S

S25.191A (Other specified injury of right innominate or subclavian artery, initial encounter) compared with S25.191S (Other specified injury of right innominate or subclavian artery, sequela), from the official CMS tabular data. S25.191A and S25.191S code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S25.191A
Initial encounter
Other specified injury of right innominate or subclavian artery, initial encounter
S25.191S
Sequela
Other specified injury of right innominate or subclavian artery, sequela

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S25.191A and S25.191S 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

S25.191AOther specified injury of right innominate or subclavian artery, initial encounterS25.191SOther specified injury of right 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)
DefinitionOther specified injury of right innominate or subclavian artery, initial encounter is a billable ICD-10-CM diagnosis code (S25.191A).Other specified injury of right innominate or subclavian artery, sequela is a billable ICD-10-CM diagnosis code (S25.191S).
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