2026 ICD-10-CM Diagnosis Code S23.0XXDTraumatic rupture of thoracic intervertebral disc, subsequent encounter
S23.0XXD is a billable ICD-10-CM diagnosis code for traumatic rupture of thoracic intervertebral disc, 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 traumatic disc rupture. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Dislocations, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S23.0XXD 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.
- Traumatic disc rupture
- Traumatic rupture of thoracic intervertebral disc
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Dislocation and sprain of joints and ligaments of thorax (S23). 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
Herniated Disk
Your backbone, or spine, is made up of 26 bones called vertebrae. In between them are soft disks filled with a jelly-like substance. These disks cushion the vertebrae and keep them in place. As you age, the disks break down or degenerate. As they do, they lose their cushioning ability. This can lead to pain if the back is stressed.
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Convert S23.0XXD to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S23.0XXDOverview
Is S23.0XXD (Traumatic rupture of thoracic intervertebral disc) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report traumatic rupture of thoracic intervertebral disc, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S23.0XXD mean?
The final character D marks a subsequent encounter: use it for routine care while the traumatic rupture of thoracic intervertebral disc is healing, after active treatment has ended.
What MS-DRG does S23.0XXD group to?
When traumatic rupture of thoracic intervertebral disc, 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 S23.0XXD 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 traumatic rupture of thoracic intervertebral disc, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S23.0XXD?
Under the General Equivalence Mappings, traumatic rupture of thoracic intervertebral disc, 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.
