S45.991A

S45.991A: Other specified injury of unspecified blood vessel at shoulder and upper arm level, right arm, initial encounter

Billable / specific codeICD-10-CMright

S45.991A is a billable, specific ICD-10-CM code for other specified injury of unspecified blood vessel at shoulder and upper arm level, right arm, initial encounter. It is valid for submission on a claim.

Check S45.991A with the rest of the claim: free scrubber

7th character "A": initial encounter

The appropriate 7th character is to be added to each code from category S45

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2 inherited from the categories above S45.991A

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

Written on S45: Injury of blood vessels at shoulder and upper arm level

injury of subclavian artery (S25.1)
injury of subclavian vein (S25.3)

Risk adjustment

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

Medicare coverage

S45.991A is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56697Billing and Coding: Non-Invasive Vascular Studies
A56758Billing and Coding: Non-Invasive Vascular Studies
A57593Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies

Code history

Unchanged in every release from FY2024 to FY2027.