S26.90XD — Unspecified injury of heart, unspecified with or without hemopericardium, subsequent encounter
Is S26.90XD billable?
Yes, but S26.90XD is an unspecified code. S26.90XD is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S26.90XD is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S26.90XD — the more specific alternatives are listed below.
S26.90XD at a glance
| Code | S26.90XD |
|---|---|
| Description | Unspecified injury of heart, unspecified with or without hemopericardium, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in S26.90XD?
In S26.90XD, the 7th character D means subsequent encounter. The 7th character is required for S26.90XD to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S26.90XD group to?
S26.90XD sits in MDC 23 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.
- 949Aftercare with CC/MCCmedical
- 950Aftercare without CC/MCCmedical
How is S26.90XD listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S26.90, the nearest indexed parent of S26.90XD. Use them to find the family, then select the specific code.
- Injury › heart
Use additional code — inherited from Chapter 19
Report an additional code alongside S26.90XD to fully describe the condition. S26.90XD 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 S26.90XD, but a patient may have both at the same time. When documentation supports it, S26.90XD and the excluded code may both be reported.
Excludes2 — not included here — inherited from S20-S29
The conditions below are not part of S26.90XD, but a patient may have both at the same time. When documentation supports it, S26.90XD 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 S26.90XD is sequenced first depends on the reason for the encounter.
How long has S26.90XD existed?
S26.90XD 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.