2026 ICD-10-CM Diagnosis Code S34.02XDConcussion and edema of sacral spinal cord, subsequent encounter
S34.02XD is a billable ICD-10-CM diagnosis code for concussion and edema of sacral spinal cord, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as concussion of sacral spinal cord. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Spinal cord injury (SCI), subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S34.02XD 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.
- Concussion of sacral spinal cord
- Spinal cord concussion
- Traumatic injury of sacral spinal cord
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level (S34). 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.
Patient EducationClinical
Spinal Cord Injuries
Your spinal cord is a bundle of nerves that runs down the middle of your back. It carries signals back and forth between your body and your brain. A spinal cord injury disrupts the signals. Spinal cord injuries usually begin with a blow that fractures (breaks) or dislocates your vertebrae, the bone disks that make up your spine.
Read the full article at MedlinePlus
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Convert S34.02XD to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S34.02XDOverview
Is S34.02XD (Concussion and edema of sacral spinal cord) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report concussion and edema of sacral spinal cord, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S34.02XD mean?
The final character D marks a subsequent encounter: use it for routine care while the concussion and edema of sacral spinal cord is healing, after active treatment has ended.
What MS-DRG does S34.02XD group to?
When concussion and edema of sacral spinal cord, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S34.02XD 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 concussion and edema of sacral spinal cord, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S34.02XD?
Under the General Equivalence Mappings, concussion and edema of sacral spinal cord, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). 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.
