S25.409S
S25.409S — Unspecified injury of unspecified pulmonary blood vessels, sequela
Billable / specific codeICD-10-CMPOA exempt
S25.409S is a billable, specific ICD-10-CM code for unspecified injury of unspecified pulmonary blood vessels, 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 S25
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S25.409S does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S25.409S is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
Related codes at this level
Codes that share S25.409. If S25.409S is not quite right, the correct code is usually one of these.
Questions about S25.409S
- Is S25.409S a billable ICD-10-CM code?
- Yes. S25.409S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S25.409S 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).