2025 ICD-10-CM code S27
Injury of other and unspecified intrathoracic organs. This code also includes any associated open wound of the thorax.
Medical necessity is established by the clinical documentation supporting the diagnosis of the injury and the need for treatment related to the injury.
Providers diagnose this condition based on patient history, physical examination, imaging (X-ray, ultrasound, CT scan), and arterial blood gas analysis. Treatment options include supplemental oxygen, mechanical ventilation, pain medication, breathing exercises, chest tube insertion, and surgery.
In simple words: This code represents an injury to organs inside the chest, like the lungs and heart, that are not specified or are not covered by a more specific code.It can be due to blunt or penetrating trauma. It also includes cases when there's an open wound in the chest area related to the injury.
Injury of other and unspecified intrathoracic organs refers to damage, cut, or tear of organs situated within the thorax, or chest, such as the lungs and heart, that help in respiration and circulation. The injury occurs due to a blunt or penetrating trauma such as from a motor vehicle accident, fall, assault, or during surgery on other thoracic organs such as the esophagus, trachea, great vessels, and nerves of the thorax. The provider does not specify the organ affected in the patient’s medical record, or he may document the affected organ, which is not covered under a more specific code.This code also includes open wounds to the thorax.
Example 1: A patient presents to the ER after a motor vehicle accident with difficulty breathing and chest pain. Imaging reveals an injury to an unspecified intrathoracic organ, but no further details are available., A patient undergoes thoracic surgery and experiences an iatrogenic injury to an intrathoracic organ not otherwise specified in the operative report., A patient falls from a height and sustains blunt trauma to the chest, resulting in an injury to an unspecified structure within the thorax. The patient also has an associated open wound.
Documentation should include the nature of the injury (blunt or penetrating), the mechanism of injury, the affected area of the thorax, the specific organ involved (if known), associated symptoms, and treatment provided. Imaging and other diagnostic reports should also be documented.
** Excludes1: birth trauma (P10-P15), obstetric trauma (O70-O71). Excludes2: 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), injury of cervical esophagus (S10-S19), injury of trachea (cervical) (S10-S19).
- Specialties:Trauma surgery, thoracic surgery, emergency medicine, critical care medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office