S27
Injury of other and unspecified intrathoracic organs
S27 is a non-billable ICD-10-CM code category for injury of other and unspecified intrathoracic organs. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are S27.0 Traumatic pneumothorax, S27.1 Traumatic hemothorax, S27.2 Traumatic hemopneumothorax, S27.3 Other and unspecified injuries of lung and 5 more. Its coding notes include a Use additional code instruction, a Code also instruction and 15 Excludes2 entries.
7th characters
Every code below needs one of these.
The appropriate 7th character is to be added to each code from category S27
- Ainitial encounter
- Dsubsequent encounter
- Ssequela
Guidelines tips
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.
Each injury gets its own code unless a combination code exists, with the most serious injury first. Superficial injuries at the same site as a more severe injury are not coded. Injuries during medical care are coded as complications.
Use additional code
Add the listed code as a secondary code, if known.
Also from chapter/block level (1 note)
- code to identify any retained foreign body, if applicable (Z18.-)
Code also
Two codes may be needed to describe the condition. This note gives no sequencing order.
- any associated open wound of thorax (S21.-)
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (13 notes)
- 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)
- birth trauma (P10-P15)
- obstetric trauma (O70-O71)
Includes
Further defines or gives examples of the content of the category.
Also from chapter/block level (3 notes)
- injuries of breast
- injuries of chest (wall)
- injuries of interscapular area
Notes
Also from chapter/block level (2 notes)
- 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.
More specific codes under S27 9
- S27.0Traumatic pneumothorax7th char needed
- S27.1Traumatic hemothorax7th char needed
- S27.2Traumatic hemopneumothorax7th char needed
- S27.3Other and unspecified injuries of lungHeader
- S27.4Injury of bronchusHeader
- S27.5Injury of thoracic tracheaHeader
- S27.6Injury of pleuraHeader
- S27.8Injury of other specified intrathoracic organsHeader
- S27.9Injury of unspecified intrathoracic organ7th char needed