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S25.421 vs S25.422

S25.421 (Major laceration of right pulmonary blood vessels) compared with S25.422 (Major laceration of left pulmonary blood vessels), from the official CMS tabular data. S25.421 and S25.422 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S25.421
Right
Major laceration of right pulmonary blood vessels
S25.422
Left
Major laceration of left pulmonary blood vessels

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S25.421 and S25.422 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S25.421Major laceration of right pulmonary blood vesselsS25.422Major laceration of left pulmonary blood vessels
Billing statusNon-billable headerNon-billable header
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)
DefinitionMajor laceration of right pulmonary blood vessels is a non-billable ICD-10-CM category code (S25.421).Major laceration of left pulmonary blood vessels is a non-billable ICD-10-CM category code (S25.422).
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