2026 ICD-10-CM Diagnosis Code S24.109AUnspecified injury at unspecified level of thoracic spinal cord, initial encounter

ICD-10-CM Codes›S00–T88›S20-S29›S24

ICD-10-CM S24.109A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S24.109A is a billable ICD-10-CM diagnosis code for unspecified injury at unspecified level of thoracic spinal cord, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Spinal cord injury (SCI), initial encounter.

Code Identity

ICD-10-CM Code
S24.109A
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified injury at unspecified level of thoracic spinal cord, initial encounter
Short Description
Unsp injury at unsp level of thoracic spinal cord, init
Parent Code
S24.109
Unspecified injury at unspecified level of thoracic spinal cord

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS20-S29Injuries to the thorax
CategoryS24Injury of nerves and spinal cord at thorax level
This CodeS24.109AUnspecified injury at unspecified level of thoracic spinal cord, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Central cord syndrome of thoracic spinal cord due to injury of spinal cord at T7 - T12 level
  • Central cord syndrome of thoracic spinal cord due to traumatic injury
  • Closed fracture of T1-T6 level with spinal cord injury
  • Closed fracture of thoracic region with spinal cord injury
  • Fracture of thoracic spine with cord lesion
  • Injury of nerves and spinal cord at thorax level
  • Injury of peripheral nerve of thorax
  • Injury of thoracic spinal cord
  • Injury of thoracic spine
  • Laceration of spinal cord
  • Laceration of thoracic spinal cord
  • Lesion of thoracic spinal cord due to closed dislocation of joint of thoracic spine
  • Lesion of thoracic spinal cord due to open dislocation of joint of thoracic spine
  • Lesion of thoracic spinal cord due to subluxation of joint of thoracic spine
  • Open dislocation thoracic spine
  • Open fracture of T7-T12 level with spinal cord injury
  • Open fracture of thoracic spine with spinal cord injury
  • Thoracic cord injury without spinal bone injury
  • Thoracic spinal cord lesion due to thoracic spinal dislocation

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of nerves and spinal cord at thorax level (S24). 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.

CCSR INJ009
Spinal cord injury (SCI), initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Spinal Cord Injuries

Your spinal cord is a bundle of nerves that runs down the middle of your back. It carries signals back and forth between your body and your brain. A spinal cord injury disrupts the signals. Spinal cord injuries usually begin with a blow that fractures (breaks) or dislocates your vertebrae, the bone disks that make up your spine.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S24.109A to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
952.9 Spinal cord injury NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S24.109AOverview

Is S24.109A a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified injury at unspecified level of thoracic spinal cord, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in S24.109A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for unspecified injury at unspecified level of thoracic spinal cord, such as an emergency visit or first evaluation.

What MS-DRG does S24.109A group to?

When unspecified injury at unspecified level of thoracic spinal cord, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 963, 964, 965, with relative weights from 0.9405 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of S24.109A?

Under the General Equivalence Mappings, unspecified injury at unspecified level of thoracic spinal cord, initial encounter converts to ICD-9-CM 952.9 (spinal cord injury NOS). 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.