2026 ICD-10-CM Diagnosis Code S74.90XAInjury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter

ICD-10-CM Codes›S00–T88›S70-S79›S74

ICD-10-CM S74.90XA
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S74.90XA is a billable ICD-10-CM diagnosis code for injury of unspecified nerve at hip and thigh level, unspecified leg, 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 963 through 965. Coders also document this condition as injury of multiple nerves at hip and thigh level. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury to nerves, muscles and tendons, initial encounter.

Code Identity

ICD-10-CM Code
S74.90XA
Billable Status
Yes — Valid for Submission
Code Describes
Injury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter
Short Description
Injury of unsp nerve at hip and thigh level, unsp leg, init
Parent Code
S74.90
Injury of unspecified nerve at hip and thigh level, unspecified 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 CodeS74.90XAInjury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Injury of multiple nerves at hip and thigh level
  • Injury of nerve at hip level
  • Injury of nerve at thigh level

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 INJ025
Injury to nerves, muscles and tendons, initial 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 S74.90XA to ICD-9-CMHistory

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

ICD-9-CM
956.9 Inj nerve pelv/leg NOS
Approximate The match is approximate rather than exact.
ICD-9-CM
957.9 Injury to nerve NOS
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 S74.90XAOverview

Is S74.90XA a billable code?

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

What does the 7th character A in S74.90XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for injury of unspecified nerve at hip and thigh level, unspecified leg, such as an emergency visit or first evaluation.

What MS-DRG does S74.90XA group to?

When injury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 963, 964, 965, with relative weights from 0.9405 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of S74.90XA?

Under the General Equivalence Mappings, injury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter converts to ICD-9-CM 956.9 (inj nerve pelv/leg NOS) and 957.9 (injury to nerve NOS). 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.