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S55.811 vs S55.819

S55.811 (Laceration of other blood vessels at forearm level, right arm) compared with S55.819 (Laceration of other blood vessels at forearm level, unspecified arm), from the official CMS tabular data. S55.811 and S55.819 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S55.811
Right
Laceration of other blood vessels at forearm level, right arm
S55.819
Unspecified
Laceration of other blood vessels at forearm level, unspecified arm

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. S55.811 and S55.819 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

S55.811Laceration of other blood vessels at forearm level, right armS55.819Laceration of other blood vessels at forearm level, unspecified arm
Billing statusNon-billable header

Report instead: S55.811A, S55.811D, S55.811S

Non-billable header

Report instead: S55.819A, S55.819D, S55.819S

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 forearm level, right arm is a non-billable ICD-10-CM category code (S55.811).Laceration of other blood vessels at forearm level, unspecified arm is a non-billable ICD-10-CM category code (S55.819).
7th characterThe appropriate 7th character is to be added to each code from category S55The appropriate 7th character is to be added to each code from category S55

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