2026 ICD-10-CM Diagnosis Code S19.85XDOther specified injuries of pharynx and cervical esophagus, subsequent encounter
S19.85XD is a billable ICD-10-CM diagnosis code for other specified injuries of pharynx and cervical esophagus, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as avulsion of oropharynx. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified injury, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S19.85XD is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Avulsion of oropharynx
- Injury of cervical esophagus
- Injury of oropharynx
- Injury of pharynx
- Perforation of pharynx
- Traumatic airway disruption
- Traumatic perforation of pharynx
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Other specified and unspecified injuries of neck (S19). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Esophagus Disorders
The esophagus is the muscular tube that carries food and liquids from your mouth to the stomach. You may not be aware of your esophagus until you swallow something too large, too hot, or too cold. You may also notice it when something is wrong. You may feel pain or have trouble swallowing.
Read the full article at MedlinePlus
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Convert S19.85XD to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S19.85XDOverview
Is S19.85XD (Other specified injuries of pharynx and cervical esophagus) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified injuries of pharynx and cervical esophagus, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S19.85XD mean?
The final character D marks a subsequent encounter: use it for routine care while the other specified injuries of pharynx and cervical esophagus is healing, after active treatment has ended.
What MS-DRG does S19.85XD group to?
When other specified injuries of pharynx and cervical esophagus, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S19.85XD exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for other specified injuries of pharynx and cervical esophagus, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S19.85XD?
Under the General Equivalence Mappings, other specified injuries of pharynx and cervical esophagus, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
