2026 ICD-10-CM Diagnosis Code S27.809AUnspecified injury of diaphragm, initial encounter
S27.809A is a billable ICD-10-CM diagnosis code for unspecified injury of diaphragm, 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 183 through 185, 963 through 965. Coders also document this condition as acute traumatic diaphragmatic hernia. 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.
- Acute traumatic diaphragmatic hernia
- Chronic traumatic diaphragmatic hernia
- Closed injury of diaphragm
- Injury of diaphragm
- Injury of diaphragm with open wound into cavity
- Injury of thoracic cavity
- Open injury of diaphragm
- Traumatic diaphragmatic hernia
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
Traumatic Diaphragmatic Hernia
the protrusion of abdominal cavity contents into the thoracic cavity via a hole in the diaphragm, which was acquired via a traumatic etiology.
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 S27.809A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S27.809AOverview
Is S27.809A (Unspecified injury of diaphragm) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report unspecified injury of diaphragm, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S27.809A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for unspecified injury of diaphragm, such as an emergency visit or first evaluation.
What MS-DRG does S27.809A group to?
When unspecified injury of diaphragm, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 183, 184, 185, 963, 964, 965, with relative weights from 0.7865 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S27.809A?
Under the General Equivalence Mappings, unspecified injury of diaphragm, initial encounter converts to ICD-9-CM 862.0 (diaphragm injury-closed). 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.
