S26

S26: Injury of heart

Non-billable headerICD-10-CM

S26 is a non-billable header ICD-10-CM code for injury of heart. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S26

A: initial encounter
D: subsequent encounter
S: sequela

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

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

Other codes that can never be billed with S26

Their own Excludes1 notes name this code, so the conflict is not listed above.

I31Other diseases of pericardium
I5ANon-ischemic myocardial injury (non-traumatic)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S26

3 child codes. Green means billable.