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S35.11XA vs S35.11XS

S35.11XA (Minor laceration of inferior vena cava, initial encounter) compared with S35.11XS (Minor laceration of inferior vena cava, sequela), from the official CMS tabular data. S35.11XA and S35.11XS code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S35.11XA
Initial encounter
Minor laceration of inferior vena cava, initial encounter
S35.11XS
Sequela
Minor laceration of inferior vena cava, 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. S35.11XA and S35.11XS 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

S35.11XAMinor laceration of inferior vena cava, initial encounterS35.11XSMinor laceration of inferior vena cava, 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)
DefinitionMinor laceration of inferior vena cava, initial encounter is a billable ICD-10-CM diagnosis code (S35.11A).Minor laceration of inferior vena cava, sequela is a billable ICD-10-CM diagnosis code (S35.11S).
7th characterThe appropriate 7th character is to be added to each code from category S35The appropriate 7th character is to be added to each code from category S35
Includes
injuries to the abdominal wall
injuries to the anus
injuries to the buttock
injuries to the external genitalia
injuries to the abdominal wall
injuries to the anus
injuries to the buttock
injuries to the external genitalia

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources