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S35.8X1A vs S35.8X1S

S35.8X1A (Laceration of other blood vessels at abdomen, lower back and pelvis level, initial encounter) compared with S35.8X1S (Laceration of other blood vessels at abdomen, lower back and pelvis level, sequela), from the official CMS tabular data. S35.8X1A and S35.8X1S code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S35.8X1A
Initial encounter
Laceration of other blood vessels at abdomen, lower back and pelvis level, initial encounter
S35.8X1S
Sequela
Laceration of other blood vessels at abdomen, lower back and pelvis level, 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. S35.8X1A and S35.8X1S 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

S35.8X1ALaceration of other blood vessels at abdomen, lower back and pelvis level, initial encounterS35.8X1SLaceration of other blood vessels at abdomen, lower back and pelvis level, 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)
DefinitionLaceration of other blood vessels at abdomen, lower back and pelvis level, initial encounter is a billable ICD-10-CM diagnosis code (S35.8X1A).Laceration of other blood vessels at abdomen, lower back and pelvis level, sequela is a billable ICD-10-CM diagnosis code (S35.8X1S).
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