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ICD-10-CM 2027 diagnosis code

S24.4Injury of thoracic sympathetic nervous system

Not billable — use a more specific codeRequires 7th character

S24.4 is a header code, so it can't be reported by itself. Choose one of the 3 more specific codes beneath it and add the required 7th character.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S24.4

S24.4 is the ICD-10-CM diagnosis code for injury of thoracic sympathetic nervous system. It belongs to category S24 (injury of nerves and spinal cord at thorax level), block S20-S29 (injuries to the thorax) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is a header code, so it can't be reported by itself; one of its 3 subcodes must be used instead.

Within S24 (injury of nerves and spinal cord at thorax level), S24.4 is specifically for injury of thoracic sympathetic nervous system. Related codes cover concussion and edema of thoracic spinal cord (S24.0), other and unspecified injuries of thoracic spinal cord (S24.1), injury of nerve root of thoracic spine (S24.2), injury of peripheral nerves of thorax (S24.3), injury of other specified nerves of thorax (S24.8) and injury of unspecified nerve of thorax (S24.9).

Codes in this range require a 7th character: A for initial encounter, D for subsequent encounter and S for sequela. Use placeholder "X" characters to fill any empty positions before the 7th character.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

7th character

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

Coding notes

Applicable toConditions and synonyms classified to this code
  • Injury of cardiac plexus
  • Injury of esophageal plexus
  • Injury of pulmonary plexus
  • Injury of stellate ganglion
  • Injury of thoracic sympathetic ganglion

Notes that apply from higher levels

Instructions written at a parent level also apply to S24.4.

› From S24 Injury of nerves and spinal cord at thorax level
Note
  • 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.
Excludes2
  • 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)

Broader instructions also apply from S20-S29 Injuries to the thorax and Chapter 19: Injury, poisoning and certain other consequences of external causes.

Alphabetic index entries

1 entries

Terms in the official ICD-10-CM index that lead to S24.4.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S24.4

Is S24.4 billable?

No. S24.4 is a header code. Report one of its more specific subcodes instead.