2027 ICD-10-CM Diagnosis Code S25.22XDMajor laceration of superior vena cava, subsequent encounter

ICD-10-CM Codes›S00–T88›S20-S29›S25

ICD-10-CM S25.22XD
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S25.22XD is a billable ICD-10-CM diagnosis code for major laceration of superior vena cava, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury to blood vessels, subsequent encounter.

Code Identity

ICD-10-CM Code
S25.22XD
Billable Status
Yes — Valid for Submission
Code Describes
Major laceration of superior vena cava, subsequent encounter
Short Description
Major laceration of superior vena cava, subsequent encounter
Same as the full description in the CMS dataset.
Parent Code
S25.22
Major laceration of superior vena cava

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS20-S29Injuries to the thorax
CategoryS25Injury of blood vessels of thorax
This CodeS25.22XDMajor laceration of superior vena cava, subsequent encounter

Present on Admission (POA)Billing

S25.22XD is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the thorax (S20-S29).

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of blood vessels of thorax (S25). 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 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S25.22XD: its own notes plus those printed at S25, block S20-S29, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Block S20-S29 Injuries to the thorax applies to 1,602 codes
  • injuries of breast
  • injuries of chest (wall)
  • injuries of interscapular area

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block S20-S29 Injuries to the thorax applies to 1,602 codes
  • burns and corrosions (T20-T32)
  • effects of foreign body in bronchus (T17.5)
  • effects of foreign body in esophagus (T18.1)
  • effects of foreign body in lung (T17.8)
  • effects of foreign body in trachea (T17.4)
  • frostbite (T33-T34)
  • injuries of axilla
  • injuries of clavicle
  • injuries of scapular region
  • injuries of shoulder
  • insect bite or sting, venomous (T63.4)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From S25 Injury of blood vessels of thorax applies to 195 codes
  • any associated open wound (S21.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From S25 Injury of blood vessels of thorax applies to 195 codes
  • The appropriate 7th character is to be added to each code from category S25
Values for category S25 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter
  • Dsubsequent encounter this code
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name S25.22XD, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming S25.22XD: they are not reported together with it, unless the two conditions are unrelated.

  • S35.1 Injury of inferior vena cava
    injury of vena cava NOS (S25.2) names S25.2, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ053
Injury to blood vessels, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Wounds and Injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S25.22XD to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V58.89 Other specfied aftercare
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S25.22XDOverview

What is the ICD-10 code for major laceration of superior vena cava, subsequent encounter?

The ICD-10-CM code for major laceration of superior vena cava, subsequent encounter is S25.22XD (sometimes written as S2522XD). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is S25.22XD (Major laceration of superior vena cava) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report major laceration of superior vena cava, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character D in S25.22XD mean?

The final character D marks a subsequent encounter: use it for routine care while the major laceration of superior vena cava is healing, after active treatment has ended.

What MS-DRG does S25.22XD group to?

When major laceration of superior vena cava, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S25.22XD 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 major laceration of superior vena cava, subsequent encounter on inpatient claims. The code appears in the Injuries to the thorax (S20-S29) range of the CMS exempt list.