Valid for Submission
S26.92XD is a billable diagnosis code used to specify a medical diagnosis of laceration of heart, unspecified with or without hemopericardium, subsequent encounter. The code S26.92XD is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S26.92XD might also be used to specify conditions or terms like heart injury, open, heart laceration with open wound into thorax, with penetration of heart chambers, laceration of heart or laceration of heart with penetration of heart chambers. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S26.92XD is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like laceration of heart unspecified with or without hemopericardium. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Unspecified diagnosis codes like S26.92XD 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.
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
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Heart injury, open
- Heart laceration with open wound into thorax, with penetration of heart chambers
- Laceration of heart
- Laceration of heart with penetration of heart chambers
Diagnostic Related Groups - MS-DRG Mapping
Present on Admission (POA)
Convert S26.92XD to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S26.92XD 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
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
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