S24.109D Unspecified injury at unspecified level of thoracic spinal cord, subsequent encounter

Billable ICD-10-CM code, FY2026.

Built from S24.109 with 7th character D (subsequent encounter).

Applies from S24 Injury of nerves and spinal cord at thorax level

Excludes2 (not included here)

• injury of brachial plexus (S14.3)

Code also

• any associated:
• fracture of thoracic vertebra (S22.0-)
• open wound of thorax (S21.-)
• transient paralysis (R29.5)

7th character note

• The appropriate 7th character is to be added to each code from category S24

Notes

• Code to highest level of thoracic spinal cord injury
• Injuries to the spinal cord (S24.0 and S24.1) refer to the cord level and not bone level injury, and can affect nerve roots at and below the level given.

7th character required

• A — initial encounter
• D — subsequent encounter
• S — sequela

Applies from S24.109 Unspecified injury at unspecified level of thoracic spinal cord

Applicable to

• Injury of thoracic spinal cord NOS

Risk adjustment (HCC)

• CMS-HCC V28: HCC 182 — Spinal Cord Disorders/Injuries
• CMS-HCC V22: HCC 72 — Spinal Cord Disorders/Injuries
• ESRD V24: HCC 72

Code annotations containing back-references to S24.109D

Back-references to S24.1

• Code First: R29.5 Transient paralysis ("any associated spinal cord injury (S14.0, S14.1-, S24.0, S24.1-, S34.0-, S34.1-)")
• Code Also: S21 Open wound of thorax ("spinal cord injury (S24.0-, S24.1-)")
• Code Also: S22 Fracture of rib(s), sternum and thoracic spine ("spinal cord injury (S24.0-, S24.1-)")
• Code Also: S23.1 Subluxation and dislocation of thoracic vertebra ("spinal cord injury (S24.0-, S24.1-)")
• Code Also: S31 Open wound of abdomen, lower back, pelvis and external genitals ("spinal cord injury (S24.0, S24.1-, S34.0-, S34.1-)")
• Code Also: S33.1 Subluxation and dislocation of lumbar vertebra ("spinal cord injury (S24.0, S24.1-, S34.0-, S34.1-)")

Back-references to S24

• Type 1 Excludes: G83.8 Other specified paralytic syndromes ("paralytic syndromes due to current spinal cord injury-code to spinal cord injury (S14, S24, S34)")

Diagnosis Index entries for S24.109D

• Injury › spinal (cord) › thoracic

Nearby codes

• S24.104A Unspecified injury at T11-T12 level of thoracic spinal cord, initial encounter
• S24.104D Unspecified injury at T11-T12 level of thoracic spinal cord, subsequent encounter
• S24.104S Unspecified injury at T11-T12 level of thoracic spinal cord, sequela
• S24.109 Unspecified injury at unspecified level of thoracic spinal cord
• S24.109A Unspecified injury at unspecified level of thoracic spinal cord, initial encounter
• S24.109D Unspecified injury at unspecified level of thoracic spinal cord, subsequent encounter (this code)
• S24.109S Unspecified injury at unspecified level of thoracic spinal cord, sequela
• S24.11 Complete lesion of thoracic spinal cord
• S24.111 Complete lesion at T1 level of thoracic spinal cord
• S24.111A Complete lesion at T1 level of thoracic spinal cord, initial encounter
• S24.111D Complete lesion at T1 level of thoracic spinal cord, subsequent encounter