Skip to main content

S25.492A vs S25.499A

S25.492A (Other specified injury of left pulmonary blood vessels, initial encounter) compared with S25.499A (Other specified injury of unspecified pulmonary blood vessels, initial encounter), from the official CMS tabular data. S25.492A and S25.499A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S25.492A
Left
Other specified injury of left pulmonary blood vessels, initial encounter
S25.499A
Unspecified
Other specified injury of unspecified pulmonary blood vessels, initial encounter

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. S25.492A and S25.499A 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

S25.492AOther specified injury of left pulmonary blood vessels, initial encounterS25.499AOther specified injury of unspecified pulmonary blood vessels, initial 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)
DefinitionOther specified injury of left pulmonary blood vessels, initial encounter is a billable ICD-10-CM diagnosis code (S25.492A).Other specified injury of unspecified pulmonary blood vessels, initial encounter is a billable ICD-10-CM diagnosis code (S25.499A).
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