S26.020A — Mild laceration of heart with hemopericardium, initial encounter
Is S26.020A billable?
Yes — S26.020A is billable for FY2027. S26.020A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S26.020A may be submitted for encounters from October 1, 2026 through September 30, 2027.
S26.020A at a glance
| Code | S26.020A |
|---|---|
| Description | Mild laceration of heart with hemopericardium, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in S26.020A?
In S26.020A, the 7th character A means initial encounter. The 7th character is required for S26.020A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S26.020A group to?
S26.020A sits in MDC 05 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 314Other Circulatory System Diagnoses with MCCmedical
- 315Other Circulatory System Diagnoses with CCmedical
- 316Other Circulatory System Diagnoses without CC/MCCmedical
As a secondary diagnosis, S26.020A is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.
How is S26.020A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S26.020, the nearest indexed parent of S26.020A. Use them to find the family, then select the specific code.
- Injury › heart › with hemopericardium › laceration
Inclusion terms
Alternative wording in documentation that is classified to S26.020A.
- Laceration of heart without penetration of heart chamber
Use additional code — inherited from Chapter 19
Report an additional code alongside S26.020A to fully describe the condition. S26.020A 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 S26.020A, but a patient may have both at the same time. When documentation supports it, S26.020A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S20-S29
The conditions below are not part of S26.020A, but a patient may have both at the same time. When documentation supports it, S26.020A and the excluded code may both be reported.
- burns and corrosions (T20-T32)
- effects of foreign body in bronchus (T17.5)
- effects of foreign body in esophagus (T18.1)
- effects of foreign body in lung (T17.8)
- effects of foreign body in trachea (T17.4)
- frostbite (T33-T34)
- injuries of axilla
- injuries of clavicle
- injuries of scapular region
- injuries of shoulder
- insect bite or sting, venomous (T63.4)
Code also — inherited from S26
Two codes may be needed to describe the condition fully. Whether S26.020A is sequenced first depends on the reason for the encounter.
How long has S26.020A existed?
S26.020A 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.