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S65.491S vs S65.492S

S65.491S (Other specified injury of blood vessel of right thumb, sequela) compared with S65.492S (Other specified injury of blood vessel of left thumb, sequela), from the official CMS tabular data. S65.491S and S65.492S code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S65.491S
Right
Other specified injury of blood vessel of right thumb, sequela
S65.492S
Left
Other specified injury of blood vessel of left thumb, sequela

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. S65.491S and S65.492S 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

S65.491SOther specified injury of blood vessel of right thumb, sequelaS65.492SOther specified injury of blood vessel of left thumb, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionOther specified injury of blood vessel of right thumb, sequela is a billable ICD-10-CM diagnosis code (S65.491S).Other specified injury of blood vessel of left thumb, sequela is a billable ICD-10-CM diagnosis code (S65.492S).
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