2026 ICD-10-CM Diagnosis Code S29.011AStrain of muscle and tendon of front wall of thorax, initial encounter

ICD-10-CM CodesS00–T88S20-S29S29

ICD-10-CM S29.011A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S29.011A is a billable ICD-10-CM diagnosis code for strain of muscle and tendon of front wall of thorax, 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 562 through 563, 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Sprains and strains, initial encounter.

Code Identity

ICD-10-CM Code
S29.011A
Billable Status
Yes — Valid for Submission
Code Describes
Strain of muscle and tendon of front wall of thorax, initial encounter
Short Description
Strain of muscle and tendon of front wall of thorax, init
Parent Code
Strain of muscle and tendon of front wall of thorax

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS20-S29Injuries to the thorax
CategoryS29Other and unspecified injuries of thorax
This CodeS29.011AStrain of muscle and tendon of front wall of thorax, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Rupture of pectoralis major muscle
  • Strain of left pectoral muscle
  • Strain of muscle at thorax level
  • Strain of muscle of anterior chest wall
  • Strain of muscle of chest wall
  • Strain of pectoral muscle
  • Strain of right pectoral muscle
  • Strain of tendon of muscle of left half of anterior chest wall
  • Strain of tendon of muscle of right half of anterior chest wall

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Other and unspecified injuries of thorax (S29). 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.

CCSR INJ024
Sprains and strains, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

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 S29.011A to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
848.8 Sprain NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S29.011AOverview

Is S29.011A (Strain of muscle and tendon of front wall of thorax) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report strain of muscle and tendon of front wall of thorax, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in S29.011A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for strain of muscle and tendon of front wall of thorax, such as an emergency visit or first evaluation.

What MS-DRG does S29.011A group to?

When strain of muscle and tendon of front wall of thorax, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 562, 563, 963, 964, 965, with relative weights from 0.8955 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of S29.011A?

Under the General Equivalence Mappings, strain of muscle and tendon of front wall of thorax, initial encounter converts to ICD-9-CM 848.8 (sprain NEC). 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.