2027 ICD-10-CM Diagnosis Code S75.229AMajor laceration of greater saphenous vein at hip and thigh level, unspecified leg, initial encounter

ICD-10-CM Codes›S00–T88›S70-S79›S75

ICD-10-CM S75.229A
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S75.229A is a billable ICD-10-CM diagnosis code for major laceration of greater saphenous vein at hip and thigh level, unspecified leg, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 913 through 914, 963 through 965. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 111 closely related codes. The code is flagged as an unspecified code, since codes identifying laterality exist in the same family. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury to blood vessels, initial encounter.

Code Identity

ICD-10-CM Code
S75.229A
Billable Status
Yes — Valid for Submission
Code Describes
Major laceration of greater saphenous vein at hip and thigh level, unspecified leg, initial encounter
Short Description
Major lacerat great saph at hip and thi lev, unsp leg, init
Parent Code
S75.229
Major laceration of greater saphenous vein at hip and thigh level, unspecified leg

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS70-S79Injuries to the hip and thigh
CategoryS75Injury of blood vessels at hip and thigh level
This CodeS75.229AMajor laceration of greater saphenous vein at hip and thigh level, unspecified leg, initial encounter

Code EditsBilling

Medicare Code Editor checks that affect claim validity for S75.229A.

Unspecified codes
Unspecified codes exist in the ICD-10-CM classification for circumstances when documentation in the medical record does not provide the level of detail needed to support reporting a more specific code. However, in the inpatient setting, there should generally be very limited and rare circumstances for which the laterality (right, left, bilateral) of a condition is unable to be documented and reported. The following pages contain the list of unspecified ICD-10-CM diagnosis codes for which there is a more specific code to identify laterality (right, left, bilateral) within that code family.

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of blood vessels at hip and thigh level (S75). 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 S75.229A: its own notes plus those printed at S75.2, S75, block S70-S79, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From S75.2 Injury of greater saphenous vein at hip and thigh level applies to 36 codes
  • greater saphenous vein NOS (S85.3)

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 S75 Injury of blood vessels at hip and thigh level applies to 162 codes
  • injury of blood vessels at lower leg level (S85.-)
  • injury of popliteal artery (S85.0)
From Block S70-S79 Injuries to the hip and thigh applies to 3,546 codes
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 S75 Injury of blood vessels at hip and thigh level applies to 162 codes
  • any associated open wound (S71.-)

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 S75 Injury of blood vessels at hip and thigh level applies to 162 codes
  • The appropriate 7th character is to be added to each code from category S75
Values for category S75 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter this code
  • Dsubsequent encounter
  • Ssequela

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

Clinical ClassificationClinical

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

CCSR INJ016
Injury to blood vessels, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Leg Injuries and Disorders

Your legs are made up of bones, blood vessels, muscles, and other connective tissue. They are important for motion and standing. Playing sports, running, falling, or having an accident can damage your legs. Common leg injuries include sprains and strains, joint dislocations, and fractures (broken bones).

Read the full article at MedlinePlus

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

Convert S75.229A to ICD-9-CMHistory

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

ICD-9-CM
904.3 Injury saphenous vein
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 S75.229AOverview

Is S75.229A a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report major laceration of greater saphenous vein at hip and thigh level, unspecified leg, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in S75.229A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for major laceration of greater saphenous vein at hip and thigh level, unspecified leg, such as an emergency visit or first evaluation.

What MS-DRG does S75.229A group to?

When major laceration of greater saphenous vein at hip and thigh level, unspecified leg, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 964, 965, 914, 913, 963, with relative weights from 0.9281 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S75.229A a CC or MCC?

CMS lists S75.229A as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 111 closely related codes in its exclusion list.

Can S75.229A be reported with S85.3?

Not as a rule. The Excludes1 note at S75.2, which applies to S75.229A, lists "greater saphenous vein NOS (S85.3)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).