S26.92XA
S26.92XA: Laceration of heart, unspecified with or without hemopericardium, initial encounter
Billable / specific codeICD-10-CM
S26.92XA is a billable, specific ICD-10-CM code for laceration of heart, unspecified with or without hemopericardium, initial encounter. It is valid for submission on a claim.
Check S26.92XA with the rest of the claim: free scrubber7th 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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Laceration of heart NOS
Other codes that can never be billed with S26.92XA
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S26.92XA is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56625Billing and Coding: Echocardiography
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
Code history
Unchanged in every release from FY2024 to FY2027.