Valid for Submission
S27.818S is a billable diagnosis code used to specify a medical diagnosis of other injury of esophagus (thoracic part), sequela. The code S27.818S is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S27.818S might also be used to specify conditions or terms like perforation of esophagus, rupture of esophagus, traumatic perforation of esophagus, traumatic rupture of esophagus or traumatic transection of esophagus. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S27.818S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like other injury of esophagus (thoracic part). According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
The appropriate 7th character is to be added to each code from block Injury of other and unspecified intrathoracic organs (S27). 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:
- Perforation of esophagus
- Rupture of esophagus
- Traumatic perforation of esophagus
- Traumatic rupture of esophagus
- Traumatic transection of esophagus
Diagnostic Related Groups - MS-DRG Mapping
Present on Admission (POA)
Convert S27.818S to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S27.818S 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
- Chest tube insertion (Medical Encyclopedia)
- Costochondritis (Medical Encyclopedia)
- Mediastinal tumor (Medical Encyclopedia)
- Pectus excavatum (Medical Encyclopedia)
- Rib fracture - aftercare (Medical Encyclopedia)
[Learn More in MedlinePlus]
The esophagus is the muscular tube that carries food and liquids from your mouth to the stomach. You may not be aware of your esophagus until you swallow something too large, too hot, or too cold. You may also notice it when something is wrong. You may feel pain or have trouble swallowing.
The most common problem with the esophagus is GERD (gastroesophageal reflux disease). With GERD, a muscle at the end of your esophagus does not close properly. This allows stomach contents to leak back, or reflux, into the esophagus and irritate it. Over time, GERD can cause damage to the esophagus.
Other problems include heartburn, cancer, and eosinophilic esophagitis. Doctors may use various tests to make a diagnosis. These include imaging tests, an upper endoscopy, and a biopsy.
Treatment depends on the problem. Some problems get better with over-the-counter medicines or changes in diet. Others may need prescription medicines or surgery.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
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