S27.0XXA
S27.0XXA: Traumatic pneumothorax, initial encounter
Billable / specific codeICD-10-CM
S27.0XXA is a billable, specific ICD-10-CM code for traumatic pneumothorax, initial encounter. It is valid for submission on a claim.
Check S27.0XXA 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 S27
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- spontaneous pneumothorax (J93.-)
Excludes1 inherited from the categories above S27.0XXA
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S27.0XXA
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S27.0XXA is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A57205Billing and Coding: Oximetry Services
- A57224Billing and Coding: Respiratory Care
Code history
Unchanged in every release from FY2024 to FY2027.