Injury of heart with hemopericardium

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 4 more specific codes instead:

S26.00 Unspecified injury of heart with hemopericardium (also a header)
S26.01 Contusion of heart with hemopericardium (also a header)
S26.02 Laceration of heart with hemopericardium (also a header)
S26.09 Other injury of heart with hemopericardium (also a header)

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2012 Added to the draft code set draft Injury of heart with hemopericardium

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from S26 Injury of heart

Seventh character required

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

Code also

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

Inherited from the S20-S29 section Injuries to the thorax (S20-S29)

Excludes2 - not included here

burns and corrosions (T20-T32)
effects of foreign body in bronchus (T17.5)
effects of foreign body in esophagus (T18.1)
effects of foreign body in lung (T17.8)
effects of foreign body in trachea (T17.4)
frostbite (T33-T34)
injuries of axilla
injuries of clavicle
injuries of scapular region
injuries of shoulder
insect bite or sting, venomous (T63.4)

Includes

injuries of breast
injuries of chest (wall)
injuries of interscapular area

Codes in the same group

Code	Description	Status
S26.1	Injury of heart without hemopericardium	Not billable
S26.9	Injury of heart, unspecified with or without hemopericardium	Not billable