Valid for Submission
S27.819D is a billable diagnosis code used to specify a medical diagnosis of unspecified injury of esophagus (thoracic part), subsequent encounter. The code S27.819D 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 S27.819D might also be used to specify conditions or terms like closed injury of esophagus, esophageal injury, injury of esophagus with open wound into thoracic cavity, injury of thoracic esophagus, injury to esophagus during surgery , injury to viscus during surgery, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S27.819D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like unspecified injury of esophagus (thoracic part). 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 S27.819D 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 following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Closed injury of esophagus
- Esophageal injury
- Injury of esophagus with open wound into thoracic cavity
- Injury of thoracic esophagus
- Injury to esophagus during surgery
- Injury to viscus during surgery
Diagnostic Related Groups - MS-DRG Mapping
Present on Admission (POA)
Convert S27.819D to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S27.819D 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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