S09.21XS — Traumatic rupture of right ear drum, sequela
Is S09.21XS billable?
Yes — S09.21XS is billable for FY2027. S09.21XS is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S09.21XS may be submitted for encounters from October 1, 2026 through September 30, 2027.
S09.21XS at a glance
| Code | S09.21XS |
|---|---|
| Description | Traumatic rupture of right ear drum, sequela |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "S" | sequela |
What does the 7th character "S" mean in S09.21XS?
In S09.21XS, the 7th character S means sequela. The 7th character is required for S09.21XS to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S09.21XS group to?
S09.21XS sits in MDC 09 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 604Trauma to the Skin, Subcutaneous Tissue and Breast with MCCmedical
- 605Trauma to the Skin, Subcutaneous Tissue and Breast without MCCmedical
How is S09.21XS listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S09.2, the nearest indexed parent of S09.21XS. Use them to find the family, then select the specific code.
- Puncture › tympanum, tympanic membrane
- Wound, open › tympanum, tympanic membrane
- Laceration › ear › drum
- Perforation, perforated › tympanum, tympanic › traumatic, current episode (nontraumatic) (of)
- Puncture › ear › drum
- Rupture, ruptured › ear drum › traumatic
- Wound, open › ear › drum
Excludes1 — never code together — inherited from S09.2
The conditions below can never be reported together with S09.21XS on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- traumatic rupture of ear drum due to blast injury (S09.31-)
Use additional code — inherited from Chapter 19
Report an additional code alongside S09.21XS to fully describe the condition. S09.21XS is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S09.21XS, but a patient may have both at the same time. When documentation supports it, S09.21XS and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S09.21XS, but a patient may have both at the same time. When documentation supports it, S09.21XS and the excluded code may both be reported.
- burns and corrosions (T20-T32)
- effects of foreign body in ear (T16)
- effects of foreign body in larynx (T17.3)
- effects of foreign body in mouth NOS (T18.0)
- effects of foreign body in nose (T17.0-T17.1)
- effects of foreign body in pharynx (T17.2)
- effects of foreign body on external eye (T15.-)
- frostbite (T33-T34)
- insect bite or sting, venomous (T63.4)
Code also — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S09.21XS is sequenced first depends on the reason for the encounter.
- for any associated infection
How long has S09.21XS existed?
S09.21XS has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.