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S26.91XD vs T18.1

S26.91XD (Contusion of heart, unspecified with or without hemopericardium, subsequent encounter) compared with T18.1 (Foreign body in esophagus), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. S26.91XD carries an Excludes2 note covering T18.1: “effects of foreign body in esophagus (T18.1)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

S26.91XDContusion of heart, unspecified with or without hemopericardium, subsequent encounterT18.1Foreign body in esophagus
Billing statusBillableNon-billable header

Report instead: T18.100A, T18.100D, T18.100S, T18.108A, T18.108D

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionContusion of heart, unspecified with or without hemopericardium, subsequent encounter is a billable ICD-10-CM diagnosis code (S26.91D).Foreign body in esophagus is a non-billable ICD-10-CM category code (T18.1).
7th characterThe appropriate 7th character is to be added to each code from category S26The appropriate 7th character is to be added to each code from category T18
Includes
injuries of breast
injuries of chest (wall)
injuries of interscapular area
Use additional code
code, if known, for foreign body entering into or through a natural orifice (W44.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources