MCMCB Pro
S24.111S

S24.111SComplete lesion at T1 level of thoracic spinal cord, sequela

Billable / specific codeICD-10-CMPOA exempt

S24.111S is a billable, specific ICD-10-CM code for complete lesion at t1 level of thoracic spinal cord, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to each code from category S24

A
initial encounter
D
subsequent encounter
S
sequela

Risk adjustment

S24.111S risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

  • HCC 181 Paraplegia0.942 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

S24.111S is named in 13 Medicare coverage policies 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A53057Billing and Coding: Home Health Occupational Therapy
  • A53064Billing and Coding: Outpatient Occupational Therapy
  • A53065Billing and Coding: Outpatient Physical Therapy
  • A54095Billing and Coding: Nerve Conduction Studies and Electromyography

Related codes at this level

Codes that share S24.111. If S24.111S is not quite right, the correct code is usually one of these.

Questions about S24.111S

Is S24.111S a billable ICD-10-CM code?
Yes. S24.111S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S24.111S sit in the tabular list?
Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the thorax (S20-S29).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.