2027 ICD-10-CM Diagnosis Code S75.229DMajor laceration of greater saphenous vein at hip and thigh level, unspecified leg, subsequent encounter
S75.229D is a billable ICD-10-CM diagnosis code for major laceration of greater saphenous vein at hip and thigh level, unspecified leg, 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
Code Classification
Present on Admission (POA)Billing
S75.229D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the hip and thigh (S70-S79).
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 S75.229D: 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.
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.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- 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.
Notes
General instructions on how these codes are used.
- 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.
- The appropriate 7th character is to be added to each code from category S75
- Ainitial encounter
- Dsubsequent encounter this code
- 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.
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 S75.229D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S75.229DOverview
Is S75.229D 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, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character D in S75.229D mean?
The final character D marks a subsequent encounter: use it for routine care while the major laceration of greater saphenous vein at hip and thigh level, unspecified leg is healing, after active treatment has ended.
What MS-DRG does S75.229D group to?
When major laceration of greater saphenous vein at hip and thigh level, unspecified leg, 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 S75.229D 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 greater saphenous vein at hip and thigh level, unspecified leg, subsequent encounter on inpatient claims. The code appears in the Injuries to the hip and thigh (S70-S79) range of the CMS exempt list.
Can S75.229D be reported with S85.3?
Not as a rule. The Excludes1 note at S75.2, which applies to S75.229D, 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).
