S21Not billable, use a more specific code below

Open wound of thorax

In Injuries to the thorax (S20-S29), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes

288 billable codes under S21: 36 are an MCC, 24 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

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Instructional notes

Excludes1: not coded here, use a different code

  • traumatic amputation (partial) of thorax (S28.1)

Code also: add a code for this too, order depends on the encounter

  • any associated injury, such as:
  • injury of heart (S26.-)
  • injury of intrathoracic organs (S27.-)
  • rib fracture (S22.3-, S22.4-)
  • spinal cord injury (S24.0-, S24.1-)
  • traumatic hemopneumothorax (S27.3)
  • traumatic hemothorax (S27.1)
  • traumatic pneumothorax (S27.0)
  • wound infection

Also applies, from Injuries to the thorax (S20-S29)

These notes sit on S20-S29 and apply to every code under it, including S21.

Includes: conditions that are coded here

  • injuries of breast
  • injuries of chest (wall)
  • injuries of interscapular area

Excludes2: not included here, code separately if applicable

  • 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)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).

Read Section I.C.19 (page 77)

All codes under S21

S21 can't be used on a claim. Pick a billable code below; grey headings group them.

S21 MS-DRGs

As the principal diagnosis, the billable codes under S21 group to these 9 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to S21

Notes on these codes point to S21.

  • S23.1 Code Also: open wound of thorax (S21.-)
  • S24 Code Also: open wound of thorax (S21.-)
  • S25 Code Also: any associated open wound (S21.-)
  • S26 Code Also: open wound of thorax (S21.-)
  • S27 Code Also: any associated open wound of thorax (S21.-)
  • S29 Code Also: any associated open wound (S21.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Chest Injuries and Disorders

The chest is the part of your body between your neck and your abdomen (belly). The medical term for your chest is thorax. Your chest holds many important structures for breathing, digestion, blood circulation, and other important body functions. These structures include your:

Read more about chest injuries and disorders on MedlinePlus

Wounds and Injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.

Read more about wounds and injuries on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.