October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

S09 Other and unspecified injuries of head

All 69 codes in the S09 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

69

Can lead a claim

30

Cannot lead a claim

39

What CMS assigns to S09

30 of the 69 codes group to Wound; 39 are assigned no clinical group. None of the 69 is assigned a comorbidity subgroup. 30 of the 69 can lead a claim.

Every code in S09

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
S09.0 Injury of blood vessels of head, not elsewhere classified
S09.0XXAInjury of blood vessels of head, not elsewhere classified, initial encounterCMS: Injury of blood vessels of head, NEC, initCan lead a claimCNone
S09.0XXDInjury of blood vessels of head, not elsewhere classified, subsequent encounterCMS: Injury of blood vessels of head, NEC, subsCan lead a claimCNone
S09.0XXSInjury of blood vessels of head, not elsewhere classified, sequelaCMS: Injury of blood vessels of head, NEC, sequelaCan lead a claimCNone
S09.1 Injury of muscle and tendon of head
S09.10 Unspecified injury of muscle and tendon of head
S09.10XAUnspecified injury of muscle and tendon of head, initial encounterCMS: Unspecified injury of muscle and tendon of head, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.10XDUnspecified injury of muscle and tendon of head, subsequent encounterCMS: Unspecified injury of muscle and tendon of head, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.10XSUnspecified injury of muscle and tendon of head, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.11 Strain of muscle and tendon of head
S09.11XAStrain of muscle and tendon of head, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.11XDStrain of muscle and tendon of head, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.11XSStrain of muscle and tendon of head, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.12 Laceration of muscle and tendon of head
S09.12XALaceration of muscle and tendon of head, initial encounterCan lead a claimCNone
S09.12XDLaceration of muscle and tendon of head, subsequent encounterCMS: Laceration of muscle and tendon of head, subs encntrCan lead a claimCNone
S09.12XSLaceration of muscle and tendon of head, sequelaCan lead a claimCNone
S09.19 Other specified injury of muscle and tendon of head
S09.19XAOther specified injury of muscle and tendon of head, initial encounterCMS: Oth injury of muscle and tendon of head, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.19XDOther specified injury of muscle and tendon of head, subsequent encounterCMS: Oth injury of muscle and tendon of head, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.19XSOther specified injury of muscle and tendon of head, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.2 Traumatic rupture of ear drum
S09.20 Traumatic rupture of unspecified ear drum
S09.20XATraumatic rupture of unspecified ear drum, initial encounterCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S09.20XDTraumatic rupture of unspecified ear drum, subsequent encounterCMS: Traumatic rupture of unspecified ear drum, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.20XSTraumatic rupture of unspecified ear drum, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.21 Traumatic rupture of right ear drum
S09.21XATraumatic rupture of right ear drum, initial encounterCan lead a claimCNone
S09.21XDTraumatic rupture of right ear drum, subsequent encounterCan lead a claimCNone
S09.21XSTraumatic rupture of right ear drum, sequelaCan lead a claimCNone
S09.22 Traumatic rupture of left ear drum
S09.22XATraumatic rupture of left ear drum, initial encounterCan lead a claimCNone
S09.22XDTraumatic rupture of left ear drum, subsequent encounterCan lead a claimCNone
S09.22XSTraumatic rupture of left ear drum, sequelaCan lead a claimCNone
S09.3 Other specified and unspecified injury of middle and inner ear
S09.30 Unspecified injury of middle and inner ear
S09.301 Unspecified injury of right middle and inner ear
S09.301AUnspecified injury of right middle and inner ear, initial encounterCMS: Unsp injury of right middle and inner ear, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.301DUnspecified injury of right middle and inner ear, subsequent encounterCMS: Unsp injury of right middle and inner ear, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.301SUnspecified injury of right middle and inner ear, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.302 Unspecified injury of left middle and inner ear
S09.302AUnspecified injury of left middle and inner ear, initial encounterCMS: Unspecified injury of left middle and inner ear, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.302DUnspecified injury of left middle and inner ear, subsequent encounterCMS: Unspecified injury of left middle and inner ear, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.302SUnspecified injury of left middle and inner ear, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.309 Unspecified injury of unspecified middle and inner ear
S09.309AUnspecified injury of unspecified middle and inner ear, initial encounterCMS: Unsp injury of unspecified middle and inner ear, init encntrCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S09.309DUnspecified injury of unspecified middle and inner ear, subsequent encounterCMS: Unsp injury of unspecified middle and inner ear, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.309SUnspecified injury of unspecified middle and inner ear, sequelaCMS: Unsp injury of unspecified middle and inner ear, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.31 Primary blast injury of ear
S09.311 Primary blast injury of right ear
S09.311APrimary blast injury of right ear, initial encounterCan lead a claimCNone
S09.311DPrimary blast injury of right ear, subsequent encounterCan lead a claimCNone
S09.311SPrimary blast injury of right ear, sequelaCan lead a claimCNone
S09.312 Primary blast injury of left ear
S09.312APrimary blast injury of left ear, initial encounterCan lead a claimCNone
S09.312DPrimary blast injury of left ear, subsequent encounterCan lead a claimCNone
S09.312SPrimary blast injury of left ear, sequelaCan lead a claimCNone
S09.313 Primary blast injury of ear, bilateral
S09.313APrimary blast injury of ear, bilateral, initial encounterCan lead a claimCNone
S09.313DPrimary blast injury of ear, bilateral, subsequent encounterCan lead a claimCNone
S09.313SPrimary blast injury of ear, bilateral, sequelaCan lead a claimCNone
S09.319 Primary blast injury of unspecified ear
S09.319APrimary blast injury of unspecified ear, initial encounterCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S09.319DPrimary blast injury of unspecified ear, subsequent encounterCMS: Primary blast injury of unspecified ear, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.319SPrimary blast injury of unspecified ear, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.39 Other specified injury of middle and inner ear
S09.391 Other specified injury of right middle and inner ear
S09.391AOther specified injury of right middle and inner ear, initial encounterCMS: Oth injury of right middle and inner ear, init encntrCan lead a claimCNone
S09.391DOther specified injury of right middle and inner ear, subsequent encounterCMS: Oth injury of right middle and inner ear, subs encntrCan lead a claimCNone
S09.391SOther specified injury of right middle and inner ear, sequelaCMS: Oth injury of right middle and inner ear, sequelaCan lead a claimCNone
S09.392 Other specified injury of left middle and inner ear
S09.392AOther specified injury of left middle and inner ear, initial encounterCMS: Oth injury of left middle and inner ear, init encntrCan lead a claimCNone
S09.392DOther specified injury of left middle and inner ear, subsequent encounterCMS: Oth injury of left middle and inner ear, subs encntrCan lead a claimCNone
S09.392SOther specified injury of left middle and inner ear, sequelaCan lead a claimCNone
S09.399 Other specified injury of unspecified middle and inner ear
S09.399AOther specified injury of unspecified middle and inner ear, initial encounterCMS: Oth injury of unspecified middle and inner ear, init encntrCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S09.399DOther specified injury of unspecified middle and inner ear, subsequent encounterCMS: Oth injury of unspecified middle and inner ear, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.399SOther specified injury of unspecified middle and inner ear, sequelaCMS: Oth injury of unspecified middle and inner ear, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.8 Other specified injuries of head
S09.8XXAOther specified injuries of head, initial encounterCan lead a claimCNone
S09.8XXDOther specified injuries of head, subsequent encounterCan lead a claimCNone
S09.8XXSOther specified injuries of head, sequelaCan lead a claimCNone
S09.9 Unspecified injury of face and head
S09.90 Unspecified injury of head
S09.90XAUnspecified injury of head, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.90XDUnspecified injury of head, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.90XSUnspecified injury of head, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.91 Unspecified injury of ear
S09.91XAUnspecified injury of ear, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.91XDUnspecified injury of ear, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.91XSUnspecified injury of ear, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.92 Unspecified injury of nose
S09.92XAUnspecified injury of nose, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.92XDUnspecified injury of nose, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.92XSUnspecified injury of nose, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.93 Unspecified injury of face
S09.93XAUnspecified injury of face, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.93XDUnspecified injury of face, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S09.93XSUnspecified injury of face, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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