S24.4XXD

S24.4XXD: Injury of thoracic sympathetic nervous system, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

S24.4XXD is a billable, specific ICD-10-CM code for injury of thoracic sympathetic nervous system, subsequent encounter. It is valid for submission on a claim.

Check S24.4XXD with the rest of the claim: free scrubber

7th character "D": subsequent encounter

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

A: initial encounter
D: subsequent encounter
S: sequela

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Injury of cardiac plexus
Injury of esophageal plexus
Injury of pulmonary plexus
Injury of stellate ganglion
Injury of thoracic sympathetic ganglion

Excludes2 inherited from the categories above S24.4XXD

Not part of this code, but both may be coded when both are present.

Written on S24: Injury of nerves and spinal cord at thorax level

injury of brachial plexus (S14.3)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S24.4XXD is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53065Billing and Coding: Outpatient Physical Therapy
A54969Billing and Coding: Nerve Conduction Studies and Electromyography
A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
A56607Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)

Code history

Unchanged in every release from FY2024 to FY2027.