S26.12XA vs S26.12XS
S26.12XA (Laceration of heart without hemopericardium, initial encounter) compared with S26.12XS (Laceration of heart without hemopericardium, sequela), from the official CMS tabular data. S26.12XA and S26.12XS code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S26.12XA and S26.12XS 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
| S26.12XALaceration of heart without hemopericardium, initial encounter | S26.12XSLaceration of heart without hemopericardium, 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 | Laceration of heart without hemopericardium, initial encounter is a billable ICD-10-CM diagnosis code (S26.12A). | Laceration of heart without hemopericardium, sequela is a billable ICD-10-CM diagnosis code (S26.12S). |
| 7th character | The appropriate 7th character is to be added to each code from category S26 | The appropriate 7th character is to be added to each code from category S26 |
| 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