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S65.411A vs S65.419A

S65.411A (Laceration of blood vessel of right thumb, initial encounter) compared with S65.419A (Laceration of blood vessel of unspecified thumb, initial encounter), from the official CMS tabular data. S65.411A and S65.419A code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S65.411A
Right
Laceration of blood vessel of right thumb, initial encounter
S65.419A
Unspecified
Laceration of blood vessel of unspecified thumb, initial encounter

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. S65.411A and S65.419A 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

S65.411ALaceration of blood vessel of right thumb, initial encounterS65.419ALaceration of blood vessel of unspecified thumb, initial 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)
DefinitionLaceration of blood vessel of right thumb, initial encounter is a billable ICD-10-CM diagnosis code (S65.411A).Laceration of blood vessel of unspecified thumb, initial encounter is a billable ICD-10-CM diagnosis code (S65.419A).
7th characterThe appropriate 7th character is to be added to each code from category S65The appropriate 7th character is to be added to each code from category S65

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