2026 ICD-10-CM Diagnosis Code S77.22XDCrushing injury of left hip with thigh, subsequent encounter

ICD-10-CM Codes›S00–T88›S70-S79›S77

ICD-10-CM S77.22XD
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S77.22XD is a billable ICD-10-CM diagnosis code for crushing injury of left 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 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 crush injury of hip and thigh. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Crushing injury, subsequent encounter.

Code Identity

ICD-10-CM Code
S77.22XD
Billable Status
Yes — Valid for Submission
Code Describes
Crushing injury of left hip with thigh, subsequent encounter
Short Description
Crushing injury of left hip with thigh, subsequent encounter
Same as the full description in the CMS dataset.
Parent Code
S77.22
Crushing injury of left 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 CodeS77.22XDCrushing injury of left hip with thigh, subsequent encounter

Present on Admission (POA)Billing

S77.22XD 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.

  • Crush injury of hip and thigh
  • Crushing injury of hip
  • Crushing injury of left hip
  • Crushing injury of left thigh
  • Crushing injury of multiple sites of lower limb
  • Crushing injury of multiple sites of trunk
  • Crushing injury of thigh
  • Left 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 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

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

CCSR INJ055
Crushing injury, subsequent 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 S77.22XD 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 S77.22XDOverview

Is S77.22XD (Crushing injury of left hip with thigh) a billable code?

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

What does the 7th character D in S77.22XD mean?

The final character D marks a subsequent encounter: use it for routine care while the crushing injury of left hip with thigh is healing, after active treatment has ended.

What MS-DRG does S77.22XD group to?

When crushing injury of left hip with thigh, 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 S77.22XD 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 left hip with thigh, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S77.22XD?

Under the General Equivalence Mappings, crushing injury of left hip with thigh, 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.