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S35.299A vs S35.299D

S35.299A (Unspecified injury of branches of celiac and mesenteric artery, initial encounter) compared with S35.299D (Unspecified injury of branches of celiac and mesenteric artery, subsequent encounter), from the official CMS tabular data. S35.299A and S35.299D code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. S35.299A and S35.299D 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

S35.299AUnspecified injury of branches of celiac and mesenteric artery, initial encounterS35.299DUnspecified injury of branches of celiac and mesenteric artery, subsequent 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)
DefinitionUnspecified injury of branches of celiac and mesenteric artery, initial encounter is a billable ICD-10-CM diagnosis code (S35.299A).Unspecified injury of branches of celiac and mesenteric artery, subsequent encounter is a billable ICD-10-CM diagnosis code (S35.299D).
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