2027 ICD-10-CM Diagnosis Code S74.01XDInjury of sciatic nerve at hip and thigh level, right leg, subsequent encounter
S74.01XD is a billable ICD-10-CM diagnosis code for injury of sciatic nerve at hip and thigh level, right leg, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as disorder of right sciatic nerve. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury to nerves, muscles and tendons, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S74.01XD is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the hip and thigh (S70-S79).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Disorder of right sciatic nerve
- Injury of sciatic nerve
- Right sciatic nerve injury
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Injury of nerves at hip and thigh level (S74). 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 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to S74.01XD: its own notes plus those printed at S74, block S70-S79, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category S74
- Ainitial encounter
- Dsubsequent encounter this code
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Hip Injuries and Disorders
Your hip is the joint where your femur (thigh bone) meets your pelvis (hip bone). There are two main parts: a ball at the end of the femur, which fits in a socket in the pelvis. Your hip is known as a ball-and-socket joint. This is because you have a ball at the end of your femur, and it fits into a socket in your pelvis.
Read the full article at MedlinePlus
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Convert S74.01XD to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S74.01XDOverview
Is S74.01XD (Injury of sciatic nerve at hip and thigh level, right leg) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report injury of sciatic nerve at hip and thigh level, right leg, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character D in S74.01XD mean?
The final character D marks a subsequent encounter: use it for routine care while the injury of sciatic nerve at hip and thigh level, right leg is healing, after active treatment has ended.
What MS-DRG does S74.01XD group to?
When injury of sciatic nerve at hip and thigh level, right leg, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S74.01XD 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 injury of sciatic nerve at hip and thigh level, right leg, subsequent encounter on inpatient claims. The code appears in the Injuries to the hip and thigh (S70-S79) range of the CMS exempt list.
What is the ICD-9 equivalent of S74.01XD?
Under the General Equivalence Mappings, injury of sciatic nerve at hip and thigh level, right leg, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.
