S26.19XA
S26.19XA — Other injury of heart without hemopericardium, initial encounter
Billable / specific codeICD-10-CM
S26.19XA is a billable, specific ICD-10-CM code for other injury of heart without hemopericardium, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S26
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S26.19XA 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
S26.19XA is named in 11 Medicare coverage policies — 11 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 S26.19. If S26.19XA is not quite right, the correct code is usually one of these.
Questions about S26.19XA
- Is S26.19XA a billable ICD-10-CM code?
- Yes. S26.19XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S26.19XA 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).