S25.22XA (Major laceration of superior vena cava, initial encounter) compared with S25.22XS (Major laceration of superior vena cava, sequela), from the official CMS tabular data. S25.22XA and S25.22XS code the same injury at a different phase of treatment.
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
Same injury, other encounter phase. S25.22XA and S25.22XS 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.
| S25.22XAMajor laceration of superior vena cava, initial encounter | S25.22XSMajor laceration of superior vena cava, sequela | |
|---|---|---|
| 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 | Major laceration of superior vena cava, initial encounter is a billable ICD-10-CM diagnosis code (S25.22A). | Major laceration of superior vena cava, sequela is a billable ICD-10-CM diagnosis code (S25.22S). |
| 7th character | The appropriate 7th character is to be added to each code from category S25 | The 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 Complete transection of superior vena cava | injuries of breast injuries of chest (wall) injuries of interscapular area Complete transection of superior vena cava |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources