2026 ICD-10-CM Diagnosis Code S26.020DMild laceration of heart with hemopericardium, subsequent encounter

ICD-10-CM Codes›S00–T88›S20-S29›S26

ICD-10-CM S26.020D
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S26.020D is a billable ICD-10-CM diagnosis code for mild laceration of heart with hemopericardium, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as heart injury, open. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Internal organ injury, subsequent encounter.

Code Identity

ICD-10-CM Code
S26.020D
Billable Status
Yes — Valid for Submission
Code Describes
Mild laceration of heart with hemopericardium, subsequent encounter
Short Description
Mild laceration of heart with hemopericardium, subs encntr
Parent Code
S26.020
Mild laceration of heart with hemopericardium

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS20-S29Injuries to the thorax
CategoryS26Injury of heart
This CodeS26.020DMild laceration of heart with hemopericardium, subsequent encounter

Present on Admission (POA)Billing

S26.020D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Heart injury, open
  • Hemopericardium
  • Injury of heart with hemopericardium
  • Laceration of heart
  • Minor laceration of heart with hemopericardium
  • Traumatic hemopericardium

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of heart (S26). 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 INJ047
Internal organ injury, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Hemopericardium

    an accumulation of blood within the pericardial sac.

Patient EducationClinical

Chest Injuries and Disorders

The chest is the part of your body between your neck and your abdomen (belly). The medical term for your chest is thorax.

The full article covers:

  • What is the chest?
  • What are chest injuries and disorders?
  • How are chest injuries and disorders diagnosed?

Read the full article at MedlinePlus

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

Convert S26.020D to ICD-9-CMHistory

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

ICD-9-CM
V58.89 Other specfied aftercare
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 S26.020DOverview

Is S26.020D (Mild laceration of heart with hemopericardium) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report mild laceration of heart with hemopericardium, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character D in S26.020D mean?

The final character D marks a subsequent encounter: use it for routine care while the mild laceration of heart with hemopericardium is healing, after active treatment has ended.

What MS-DRG does S26.020D group to?

When mild laceration of heart with hemopericardium, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S26.020D exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for mild laceration of heart with hemopericardium, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S26.020D?

Under the General Equivalence Mappings, mild laceration of heart with hemopericardium, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). 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.