S45.291AOther specified injury of axillary or brachial vein, right side, initial encounter

S45.291A is the ICD-10-CM diagnosis code for other specified injury of axillary or brachial vein, right side, initial encounter. It belongs to category S45 (injury of blood vessels at shoulder and upper arm level), block S40-S49 (injuries to the shoulder and upper arm) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "A" means initial encounter: use it while the patient is receiving active treatment for the condition.

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 913 (Traumatic Injury with MCC, relative weight 1.5455), DRG 914 (Traumatic Injury without MCC, relative weight 0.9285), DRG 963 (Other Multiple Significant Trauma with MCC, relative weight 2.6363), DRG 964 (Other Multiple Significant Trauma with CC, relative weight 1.4972) and DRG 965 (Other Multiple Significant Trauma without CC/MCC, relative weight 1.0059), in MDC 21 (Injuries, Poisonings and Toxic Effects of Drugs) and MDC 24 (Multiple Significant Trauma), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

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

Before ICD-10, this condition was coded in ICD-9-CM as 903.02 (injury to axillary vein) and 903.1 (injury to brachial blood vessels).