2026 ICD-10-CM Diagnosis Code S14.5XXSInjury of cervical sympathetic nerves, sequela
S14.5XXS is a billable ICD-10-CM diagnosis code for injury of cervical sympathetic nerves, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is exempt from POA reporting. Coders also document this condition as cervical sympathetic nerve injury. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S14.5XXS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Cervical sympathetic nerve injury
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Injury of nerves and spinal cord at neck level (S14). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Neck Injuries and Disorders
Any part of your neck - muscles, bones, joints, tendons, ligaments, or nerves - can cause neck problems. Neck pain is very common. Pain may also come from your shoulder, jaw, head, or upper arms.
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Convert S14.5XXS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S14.5XXSOverview
Is S14.5XXS (Injury of cervical sympathetic nerves) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report injury of cervical sympathetic nerves, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S14.5XXS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the injury of cervical sympathetic nerves itself has resolved, not the original event.
Is S14.5XXS exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for injury of cervical sympathetic nerves, sequela on inpatient claims.
What is the ICD-9 equivalent of S14.5XXS?
Under the General Equivalence Mappings, injury of cervical sympathetic nerves, sequela converts to ICD-9-CM 907.3 (lt eff nerv inj trnk NEC). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
