Valid for Submission
S26.09XA is a billable diagnosis code used to specify a medical diagnosis of other injury of heart with hemopericardium, initial encounter. The code S26.09XA is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
S26.09XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like other injury of heart with hemopericardium. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
The appropriate 7th character is to be added to each code from block Injury of heart (S26). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|314||OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC||05||2.0834|
|315||OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC||05||0.9752|
|316||OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC||05||0.7495|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert S26.09XA to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S26.09XA its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Also called: Hematoma, Hemorrhage
Bleeding is the loss of blood. It can happen outside or inside the body. You may bleed when you get a cut or other wound. Bleeding can also be due to an injury to internal organs.
Sometimes bleeding can cause other problems. A bruise is bleeding under the skin. Some strokes are caused by bleeding in the brain. Other bleeding, such as gastrointestinal bleeding, coughing up blood, or vaginal bleeding, can be a symptom of a disease.
Normally, when you bleed, your blood forms clots to stop the bleeding. Severe bleeding may require first aid or a trip to the emergency room. If you have a bleeding disorder, your blood does not form clots normally.
- Bleeding (Medical Encyclopedia)
- Bleeding gums (Medical Encyclopedia)
- Bleeding into the skin (Medical Encyclopedia)
- Intraventricular hemorrhage of the newborn (Medical Encyclopedia)
- Subarachnoid hemorrhage (Medical Encyclopedia)
[Learn More in MedlinePlus]
Chest Injuries and Disorders
The chest is the part of the body between your neck and your abdomen. It includes the ribs and breastbone. Inside your chest are several organs, including the heart, lungs, and esophagus. The pleura, a large thin sheet of tissue, lines the inside of the chest cavity.
Chest injuries and disorders include
- Heart diseases
- Lung diseases and collapsed lung
- Pleural disorders
- Esophagus disorders
- Broken ribs
- Thoracic aortic aneurysms
- Disorders of the mediastinum, the space between the lungs, breastbone, and spine
- Chest tube insertion (Medical Encyclopedia)
- Costochondritis (Medical Encyclopedia)
- Mediastinal tumor (Medical Encyclopedia)
- Pectus excavatum (Medical Encyclopedia)
- Rib fracture - aftercare (Medical Encyclopedia)
[Learn More in MedlinePlus]