S65.491A (Other specified injury of blood vessel of right thumb, initial encounter) compared with S65.492A (Other specified injury of blood vessel of left thumb, initial encounter), from the official CMS tabular data. S65.491A and S65.492A code the same condition on opposite sides. MedCoder-derived
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)
Same condition, opposite side. S65.491A and S65.492A 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.
| S65.491AOther specified injury of blood vessel of right thumb, initial encounter | S65.492AOther specified injury of blood vessel of left thumb, initial encounter | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | S00-T88 — Injury, poisoning and certain other consequences of external causes | S00-T88 — Injury, poisoning and certain other consequences of external causes |
| Definition | Other specified injury of blood vessel of right thumb, initial encounter is a billable ICD-10-CM diagnosis code (S65.491A). | Other specified injury of blood vessel of left thumb, initial encounter is a billable ICD-10-CM diagnosis code (S65.492A). |
| 7th character | The appropriate 7th character is to be added to each code from category S65 | The 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