2021 ICD-10-CM Code S26.1

Injury of heart without hemopericardium

Version 2021

Not Valid for Submission

S26.1 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of injury of heart without hemopericardium. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

ICD-10:S26.1
Short Description:Injury of heart without hemopericardium
Long Description:Injury of heart without hemopericardium

Code Classification

Coding Guidelines

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:

Specific Coding for Injury of heart without hemopericardium

Non-specific codes like S26.1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for injury of heart without hemopericardium:

  • NON-BILLABLE CODE - S26.10 for Unspecified injury of heart without hemopericardium
  • BILLABLE CODE - Use S26.10XA for initial encounter
  • BILLABLE CODE - Use S26.10XD for subsequent encounter
  • BILLABLE CODE - Use S26.10XS for sequela
  • NON-BILLABLE CODE - S26.11 for Contusion of heart without hemopericardium
  • BILLABLE CODE - Use S26.11XA for initial encounter
  • BILLABLE CODE - Use S26.11XD for subsequent encounter
  • BILLABLE CODE - Use S26.11XS for sequela
  • NON-BILLABLE CODE - S26.12 for Laceration of heart without hemopericardium
  • BILLABLE CODE - Use S26.12XA for initial encounter
  • BILLABLE CODE - Use S26.12XD for subsequent encounter
  • BILLABLE CODE - Use S26.12XS for sequela
  • NON-BILLABLE CODE - S26.19 for Other injury of heart without hemopericardium
  • BILLABLE CODE - Use S26.19XA for initial encounter
  • BILLABLE CODE - Use S26.19XD for subsequent encounter
  • BILLABLE CODE - Use S26.19XS for sequela

Information for Patients


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


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Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)