S26.01XA ICD-10-CM Code: Contusion of heart with hemopericardium, initial encounter
S26.01XA is the authoritative medical code for Contusion of heart with hemopericardium, initial encounter. This classification is used in medical billing and clinical recording to specify the clinical criteria for contusion of heart with hemopericardium, initial encounter (ICD-10-CM S26.01XA), ensuring healthcare documentation aligns with current federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 314 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC (MDC 05)
- MS-DRG 315 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC (MDC 05)
- MS-DRG 316 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC (MDC 05)
- MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
- MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
- MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S26.01XA in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- injuries of breast
- injuries of chest (wall)
- injuries of interscapular area
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- burns and corrosions (T20-T32)
- effects of foreign body in bronchus (T17.5)
- effects of foreign body in esophagus (T18.1)
- effects of foreign body in lung (T17.8)
- effects of foreign body in trachea (T17.4)
- frostbite (T33-T34)
- injuries of axilla
- injuries of clavicle
- injuries of scapular region
- injuries of shoulder
- insect bite or sting, venomous (T63.4)
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated:
- open wound of thorax (S21.-)
- traumatic hemopneumothorax (S27.2)
- traumatic hemothorax (S27.1)
- traumatic pneumothorax (S27.0)
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S26.01XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S26.
Can S26.01XA be reported alongside related conditions?
Per official ICD-10-CM Excludes2 instructions, S26.01XA and the following are not considered part of each other and may both be reported when both conditions are present: burns and corrosions (T20-T32); effects of foreign body in bronchus (T17.5); effects of foreign body in esophagus (T18.1); effects of foreign body in lung (T17.8).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S26.01XA in its code family, with their registry titles.
- S26.00 — Unspecified injury of heart with hemopericardium
- S26.00XA — Unspecified injury of heart with hemopericardium, initial encounter
- S26.00XD — Unspecified injury of heart with hemopericardium, subsequent encounter
- S26.00XS — Unspecified injury of heart with hemopericardium, sequela
- S26.01 — Contusion of heart with hemopericardium
- S26.01XD — Contusion of heart with hemopericardium, subsequent encounter
- S26.01XS — Contusion of heart with hemopericardium, sequela
- S26.02 — Laceration of heart with hemopericardium
- S26.020 — Mild laceration of heart with hemopericardium
- S26.020A — Mild laceration of heart with hemopericardium, initial encounter