2026 ICD-10-CM Diagnosis Code S74.12XDInjury of femoral nerve at hip and thigh level, left leg, subsequent encounter

ICD-10-CM CodesS00–T88S70-S79S74

ICD-10-CM S74.12XD
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S74.12XD is a billable ICD-10-CM diagnosis code for injury of femoral nerve at hip and thigh level, left 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 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 disorder of left femoral nerve. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury to nerves, muscles and tendons, subsequent encounter.

Code Identity

ICD-10-CM Code
S74.12XD
Billable Status
Yes — Valid for Submission
Code Describes
Injury of femoral nerve at hip and thigh level, left leg, subsequent encounter
Short Description
Injury of femoral nrv at hip and thigh level, left leg, subs
Parent Code
Injury of femoral nerve at hip and thigh level, left leg

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS70-S79Injuries to the hip and thigh
CategoryS74Injury of nerves at hip and thigh level
This CodeS74.12XDInjury of femoral nerve at hip and thigh level, left leg, subsequent encounter

Present on Admission (POA)Billing

S74.12XD 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.

  • Disorder of left femoral nerve
  • Injury of femoral nerve
  • Lesion of femoral nerve
  • Lesion of left femoral nerve
  • Traumatic injury of left femoral nerve

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 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ062
Injury to nerves, muscles and tendons, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

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

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S74.12XD to ICD-9-CMHistory

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

ICD-9-CM
V58.89 Other specfied aftercare
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 S74.12XDOverview

Is S74.12XD (Injury of femoral nerve at hip and thigh level, left leg) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report injury of femoral nerve at hip and thigh level, left leg, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character D in S74.12XD mean?

The final character D marks a subsequent encounter: use it for routine care while the injury of femoral nerve at hip and thigh level, left leg is healing, after active treatment has ended.

What MS-DRG does S74.12XD group to?

When injury of femoral nerve at hip and thigh level, left leg, 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 S74.12XD 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 femoral nerve at hip and thigh level, left leg, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S74.12XD?

Under the General Equivalence Mappings, injury of femoral nerve at hip and thigh level, left leg, 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.