S25.22XD — Major laceration of superior vena cava, subsequent encounter
Is S25.22XD billable?
Yes — S25.22XD is billable for FY2027. S25.22XD is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S25.22XD may be submitted for encounters from October 1, 2026 through September 30, 2027.
S25.22XD at a glance
| Code | S25.22XD |
|---|---|
| Description | Major laceration of superior vena cava, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in S25.22XD?
In S25.22XD, the 7th character D means subsequent encounter. The 7th character is required for S25.22XD to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S25.22XD group to?
S25.22XD sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 949Aftercare with CC/MCCmedical
- 950Aftercare without CC/MCCmedical
How is S25.22XD listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S25.22, the nearest indexed parent of S25.22XD. Use them to find the family, then select the specific code.
- Injury › vena cava › laceration › major
- Injury › blood vessel NEC › thoracic › vena cava › laceration › major
Inclusion terms
Alternative wording in documentation that is classified to S25.22XD.
- Complete transection of superior vena cava
- Traumatic rupture of superior vena cava
Use additional code — inherited from Chapter 19
Report an additional code alongside S25.22XD to fully describe the condition. S25.22XD is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S25.22XD, but a patient may have both at the same time. When documentation supports it, S25.22XD and the excluded code may both be reported.
Excludes2 — not included here — inherited from S20-S29
The conditions below are not part of S25.22XD, but a patient may have both at the same time. When documentation supports it, S25.22XD and the excluded code may both be reported.
- burns and corrosions (T20-T32)
- effects of foreign body in bronchus (T17.5)
- effects of foreign body in esophagus (T18.1)
- effects of foreign body in lung (T17.8)
- effects of foreign body in trachea (T17.4)
- frostbite (T33-T34)
- injuries of axilla
- injuries of clavicle
- injuries of scapular region
- injuries of shoulder
- insect bite or sting, venomous (T63.4)
Code also — inherited from S25
Two codes may be needed to describe the condition fully. Whether S25.22XD is sequenced first depends on the reason for the encounter.
- any associated open wound (S21.-)
How long has S25.22XD existed?
S25.22XD has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.