2027 ICD-10-CM Diagnosis Code S77.21XACrushing injury of right hip with thigh, initial encounter

ICD-10-CM Codes›S00–T88›S70-S79›S77

ICD-10-CM S77.21XA
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S77.21XA is a billable ICD-10-CM diagnosis code for crushing injury of right hip with thigh, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 913 through 914, 963 through 965. Coders also document this condition as crush injury of hip and thigh. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Crushing injury, initial encounter.

Code Identity

ICD-10-CM Code
S77.21XA
Billable Status
Yes — Valid for Submission
Code Describes
Crushing injury of right hip with thigh, initial encounter
Short Description
Crushing injury of right hip with thigh, initial encounter
Same as the full description in the CMS dataset.
Parent Code
S77.21
Crushing injury of right hip with thigh

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS70-S79Injuries to the hip and thigh
CategoryS77Crushing injury of hip and thigh
This CodeS77.21XACrushing injury of right hip with thigh, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Crush injury of hip and thigh
  • Crushing injury of hip
  • Crushing injury of multiple sites of lower limb
  • Crushing injury of multiple sites of trunk
  • Crushing injury of right hip
  • Crushing injury of right lower limb
  • Crushing injury of right thigh
  • Crushing injury of thigh
  • Right hip region and thigh crushing injury

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Crushing injury of hip and thigh (S77). 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 S77.21XA: its own notes plus those printed at S77, 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.

From S77 Crushing injury of hip and thigh applies to 27 codes
  • crushing injury of ankle and foot (S97.-)
  • crushing injury of lower leg (S87.-)
From Block S70-S79 Injuries to the hip and thigh applies to 3,546 codes
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From S77 Crushing injury of hip and thigh applies to 27 codes
  • code(s) for all associated injuries
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • 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.

From S77 Crushing injury of hip and thigh applies to 27 codes
  • The appropriate 7th character is to be added to each code from category S77
Values for category S77 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter this code
  • Dsubsequent encounter
  • 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.

CCSR INJ018
Crushing injury, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Wounds and Injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening.

Read the full article at MedlinePlus

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

Convert S77.21XA to ICD-9-CMHistory

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

ICD-9-CM
928.8 Mult crushing injury leg
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S77.21XAOverview

What is the ICD-10 code for crushing injury of right hip with thigh, initial encounter?

The ICD-10-CM code for crushing injury of right hip with thigh, initial encounter is S77.21XA (sometimes written as S7721XA). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is S77.21XA (Crushing injury of right hip with thigh) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of right hip with thigh, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in S77.21XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for crushing injury of right hip with thigh, such as an emergency visit or first evaluation.

What MS-DRG does S77.21XA group to?

When crushing injury of right hip with thigh, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 964, 965, 914, 913, 963, with relative weights from 0.9281 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.

Does S77.21XA need an additional code?

When the condition applies, yes. The Use Additional Code note at S77, which applies to S77.21XA, reads: code(s) for all associated injuries. The additional code is reported after S77.21XA.