ICDcodes.org
FY2027

S26.91XSContusion of heart, unspecified with or without hemopericardium, sequela

BillableUnspecified

Is S26.91XS billable?

Yes, but S26.91XS is an unspecified code. S26.91XS is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S26.91XS 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 S26.91XS — the more specific alternatives are listed below.

S26.91XS at a glance

CodeS26.91XS
DescriptionContusion of heart, unspecified with or without hemopericardium, sequela
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "S"sequela

What does the 7th character "S" mean in S26.91XS?

In S26.91XS, the 7th character S means sequela. The 7th character is required for S26.91XS to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does S26.91XS group to?

S26.91XS 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 S26.91XS listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S26.91, the nearest indexed parent of S26.91XS. Use them to find the family, then select the specific code.

  • Contusionheart (skin surface intact)
  • Injuryheartcontusion

Use additional code — inherited from Chapter 19

Report an additional code alongside S26.91XS to fully describe the condition. S26.91XS 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 S26.91XS, but a patient may have both at the same time. When documentation supports it, S26.91XS and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S20-S29

The conditions below are not part of S26.91XS, but a patient may have both at the same time. When documentation supports it, S26.91XS 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 S26.91XS is sequenced first depends on the reason for the encounter.

  • any associated:
  • open wound of thorax (S21.-)
  • traumatic hemopneumothorax (S27.2)
  • traumatic hemothorax (S27.1)
  • traumatic pneumothorax (S27.0)

How long has S26.91XS existed?

S26.91XS 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.