2027 ICD-10-CM Diagnosis Code S77.21XDCrushing injury of right hip with thigh, subsequent encounter
S77.21XD is a billable ICD-10-CM diagnosis code for crushing injury of right hip with thigh, 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 crush injury of hip and thigh. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Crushing injury, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S77.21XD 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.
- 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 S77.21XD: 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.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code(s) for all associated injuries
- code to identify any retained foreign body, if applicable (Z18.-)
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 S77
- 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
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 S77.21XD to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S77.21XDOverview
What is the ICD-10 code for crushing injury of right hip with thigh, subsequent encounter?
The ICD-10-CM code for crushing injury of right hip with thigh, subsequent encounter is S77.21XD (sometimes written as S7721XD). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is S77.21XD (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, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character D in S77.21XD mean?
The final character D marks a subsequent encounter: use it for routine care while the crushing injury of right hip with thigh is healing, after active treatment has ended.
What MS-DRG does S77.21XD group to?
When crushing injury of right hip with thigh, 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 S77.21XD 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 crushing injury of right hip with thigh, subsequent encounter on inpatient claims. The code appears in the Injuries to the hip and thigh (S70-S79) range of the CMS exempt list.
