ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 S25

Non-Billable Header

Injury of blood vessels of thorax

S25
Block
0
Synonyms
0
LCDs
7
Payer Policies
0
Linked CPTs

About ICD-10-CM S25

ICD-10-CM code S25 represents Injury of blood vessels of thorax. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block S25). The 2026 edition of ICD-10-CM S25 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Coding Tips for S25

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Injury chapter (S00-T88): 7th character extension required

Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.

Coding Notes

Code Also

  • any associated open wound (S21.-)

Seven Chr Note

  • The appropriate 7th character is to be added to each code from category S25

Medicare LCD Coverage for S25

Local Coverage Determinations (LCDs) from CMS MACs that list S25 as a covered diagnosis.

No Medicare LCDs reference S25 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing S25.

7 policies

1 Aetna

Nebulizers - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0065

2 Cigna

Diaphragmatic/Phrenic Nerve Stimulation - (0391)
Policy ID: MM_0391
Tissue Engineered Skin Substitutes - (0068)
Policy ID: MM_0068

4 Humana

IVIG (immune globulin)
Policy ID: HUM-090009298a4c9539
IVIG (immune globulin)
Policy ID: HUM-090009298a483bf4
IVIG (immune globulin)
Policy ID: HUM-090009298a459ab7
IVIG (immune globulin)
Policy ID: HUM-090009298a4cdb78

CPT Codes Commonly Billed with S25

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for S25

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

ICD-10 S25, Billing FAQ

Is ICD-10 code S25 billable? +

No, S25 is a non-billable header code. Use a more specific child code from block S25 when submitting claims.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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