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Dx

ICD-10-CM 2027

ICD-10 code for heart puncture

S26.99

Other injury of heart, unspecified with or without hemopericardium

Header — needs a more specific code

From the official ICD-10-CM alphabetic index entry “Puncture › heart”. Page updated September 29, 2026.

About coding heart puncture

The ICD-10-CM code for heart puncture is S26.99 (Other injury of heart, unspecified with or without hemopericardium). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on S26.99.

Within S26.9, choose S26.99 (Other injury of heart, unspecified with or without hemopericardium) only when documentation doesn't support a more specific option: unspecified injury of heart, unspecified with or without hemopericardium (S26.90), contusion of heart, unspecified with or without hemopericardium (S26.91) and laceration of heart, unspecified with or without hemopericardium (S26.92).

Codes in this range require a 7th character: A for initial encounter, D for subsequent encounter and S for sequela. Use placeholder "X" characters to fill any empty positions before the 7th character.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

More specific heart puncture codes (official index)

  • with hemopericardium S26.09 — Other injury of heart with hemopericardium
  • without hemopericardium S26.19 — Other injury of heart without hemopericardium

Common questions about heart puncture ICD-10 codes

What is the ICD-10 code for heart puncture?

S26.99 — Other injury of heart, unspecified with or without hemopericardium (a header code; report a more specific subcode). More specific codes apply when the documentation supports them: S26.09, S26.19.

Is S26.99 billable?

No. S26.99 is a header code. Report one of its more specific subcodes instead.