S26.12XS — Laceration of heart without hemopericardium, sequela
Is S26.12XS billable?
Yes — S26.12XS is billable for FY2027. S26.12XS is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S26.12XS may be submitted for encounters from October 1, 2026 through September 30, 2027.
S26.12XS at a glance
| Code | S26.12XS |
|---|---|
| Description | Laceration of heart without hemopericardium, 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 S26.12XS?
In S26.12XS, the 7th character S means sequela. The 7th character is required for S26.12XS to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S26.12XS group to?
S26.12XS sits in MDC 04 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.
- 205Other Respiratory System Diagnoses with MCCmedical
- 206Other Respiratory System Diagnoses without MCCmedical
How is S26.12XS listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S26.12, the nearest indexed parent of S26.12XS. Use them to find the family, then select the specific code.
- Injury › heart › without hemopericardium › laceration
Use additional code — inherited from Chapter 19
Report an additional code alongside S26.12XS to fully describe the condition. S26.12XS 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 S26.12XS, but a patient may have both at the same time. When documentation supports it, S26.12XS and the excluded code may both be reported.
Excludes2 — not included here — inherited from S20-S29
The conditions below are not part of S26.12XS, but a patient may have both at the same time. When documentation supports it, S26.12XS 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 S26.12XS is sequenced first depends on the reason for the encounter.
How long has S26.12XS existed?
S26.12XS 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.