2021 ICD-10-CM Code S26.91

Contusion of heart, unspecified with or without hemopericardium

Version 2021

Not Valid for Submission

ICD-10:S26.91
Short Description:Contusion of heart, unsp with or without hemopericardium
Long Description:Contusion of heart, unspecified with or without hemopericardium

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the thorax (S20-S29)
      • Injury of heart (S26)

S26.91 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of contusion of heart, unspecified with or 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.

Unspecified diagnosis codes like S26.91 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

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 Contusion of heart, unsp with or without hemopericardium

Non-specific codes like S26.91 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 contusion of heart, unsp with or without hemopericardium:

  • BILLABLE CODE - Use S26.91XA for initial encounter
  • BILLABLE CODE - Use S26.91XD for subsequent encounter
  • BILLABLE CODE - Use S26.91XS for sequela

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code S26.91 are found in the index:

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)