2026 ICD-10-CM Diagnosis Code S26.022AMajor laceration of heart with hemopericardium, initial encounter
ICD-10-CM Codes›S00–T88›S20-S29›S26
- Billable — Valid for Submission
- MCC — Major Complication or Comorbidity
- 7th Character A — Initial Encounter
- Not Chronic
S26.022A is a billable ICD-10-CM diagnosis code for major laceration of heart with hemopericardium, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 314 through 316, 963 through 965. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 107 closely related codes. Coders also document this condition as heart injury, open. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Internal organ injury, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Heart injury, open
- Hemopericardium
- Injury of heart with hemopericardium
- Laceration of heart
- Major 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.
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 S26.022A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S26.022AOverview
What is the ICD-10 code for major laceration of heart with hemopericardium, initial encounter?
The ICD-10-CM code for major laceration of heart with hemopericardium, initial encounter is S26.022A (sometimes written as S26022A). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Is S26.022A (Major laceration of heart with hemopericardium) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report major laceration of heart with hemopericardium, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S26.022A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for major laceration of heart with hemopericardium, such as an emergency visit or first evaluation.
What MS-DRG does S26.022A group to?
When major laceration of heart with hemopericardium, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 314, 315, 316, 963, 964, 965, with relative weights from 0.6821 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S26.022A a CC or MCC?
CMS lists S26.022A as an MCC (major complication or comorbidity) for FY 2026. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 107 closely related codes in its exclusion list.
