S26.01XS
S26.01XS — Contusion of heart with hemopericardium, sequela
Billable / specific codeICD-10-CMPOA exempt
S26.01XS is a billable, specific ICD-10-CM code for contusion of heart with hemopericardium, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S26
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S26.01XS does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S26.01XS is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56625Billing and Coding: Echocardiography
- A56625Billing and Coding: Echocardiography
Related codes at this level
Codes that share S26.01. If S26.01XS is not quite right, the correct code is usually one of these.
Questions about S26.01XS
- Is S26.01XS a billable ICD-10-CM code?
- Yes. S26.01XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S26.01XS sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the thorax (S20-S29).