2026 ICD-10-CM Diagnosis Code S27.1XXSTraumatic hemothorax, sequela
S27.1XXS is a billable ICD-10-CM diagnosis code for traumatic hemothorax, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 205 through 206. The code is exempt from POA reporting. Coders also document this condition as hemothorax. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S27.1XXS 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.
- Hemothorax
- Traumatic hemothorax
- Traumatic hemothorax with open wound into thorax
- Traumatic hemothorax without open wound into thorax
Coding GuidelinesGuidance
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 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
Hemothorax
hemorrhage within the pleural cavity.
Patient EducationClinical
Pleural Disorders
Your pleura is a large, thin sheet of tissue that wraps around the outside of your lungs and lines the inside of your chest cavity. Between the layers of the pleura is a very thin space. Normally it's filled with a small amount of fluid.
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Convert S27.1XXS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S27.1XXSOverview
Is S27.1XXS (Traumatic hemothorax) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report traumatic hemothorax, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S27.1XXS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the traumatic hemothorax itself has resolved, not the original event.
What MS-DRG does S27.1XXS group to?
When traumatic hemothorax, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 205, 206, with relative weights from 0.9411 to 1.8310 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S27.1XXS 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 traumatic hemothorax, sequela on inpatient claims.
What is the ICD-9 equivalent of S27.1XXS?
Under the General Equivalence Mappings, traumatic hemothorax, sequela converts to ICD-9-CM 908.0 (late eff int injur chest). 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.
