Injury of blood vessels at abdomen, lower back and pelvis level
In Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes
222 billable codes under S35: 62 are an MCC, 12 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
Code also: add a code for this too, order depends on the encounter
- any associated open wound (S31.-)
Also applies, from Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)
These notes sit on S30-S39 and apply to every code under it, including S35.
Includes: conditions that are coded here
- injuries to the abdominal wall
- injuries to the anus
- injuries to the buttock
- injuries to the external genitalia
- injuries to the flank
- injuries to the groin
Excludes2: not included here, code separately if applicable
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).
- Application of 7th Characters in Chapter 19 (page 77)
- Coding of Injuries (page 78)
- Coding of Traumatic Fractures (page 79)
- Coding of Burns and Corrosions (page 80)
- Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
- Adult and child abuse, neglect and other maltreatment (page 85)
- Complications of care (page 85)
All codes under S35
S35 can't be used on a claim. Pick a billable code below; grey headings group them.
- S35.0Injury of abdominal aorta
- S35.00Unspecified injury of abdominal aorta
- S35.00XAUnspecified injury of abdominal aorta, initial encounter
- S35.00XDUnspecified injury of abdominal aorta, subsequent encounter
- S35.00XSUnspecified injury of abdominal aorta, sequela
- S35.01Minor laceration of abdominal aorta
- S35.01XAMinor laceration of abdominal aorta, initial encounter
- S35.01XDMinor laceration of abdominal aorta, subsequent encounter
- S35.01XSMinor laceration of abdominal aorta, sequela
- S35.02Major laceration of abdominal aorta
- S35.02XAMajor laceration of abdominal aorta, initial encounter
- S35.02XDMajor laceration of abdominal aorta, subsequent encounter
- S35.02XSMajor laceration of abdominal aorta, sequela
- S35.09Other injury of abdominal aorta
- S35.09XAOther injury of abdominal aorta, initial encounter
- S35.09XDOther injury of abdominal aorta, subsequent encounter
- S35.09XSOther injury of abdominal aorta, sequela
- S35.1Injury of inferior vena cava
- S35.10Unspecified injury of inferior vena cava
- S35.10XAUnspecified injury of inferior vena cava, initial encounter
- S35.10XDUnspecified injury of inferior vena cava, subsequent encounter
- S35.10XSUnspecified injury of inferior vena cava, sequela
- S35.11Minor laceration of inferior vena cava
- S35.11XAMinor laceration of inferior vena cava, initial encounter
- S35.11XDMinor laceration of inferior vena cava, subsequent encounter
- S35.11XSMinor laceration of inferior vena cava, sequela
- S35.12Major laceration of inferior vena cava
- S35.12XAMajor laceration of inferior vena cava, initial encounter
- S35.12XDMajor laceration of inferior vena cava, subsequent encounter
- S35.12XSMajor laceration of inferior vena cava, sequela
- S35.19Other injury of inferior vena cava
- S35.19XAOther injury of inferior vena cava, initial encounter
- S35.19XDOther injury of inferior vena cava, subsequent encounter
- S35.19XSOther injury of inferior vena cava, sequela
- S35.2Injury of celiac or mesenteric artery and branches
- S35.21Injury of celiac artery
- S35.211Minor laceration of celiac artery
- S35.211AMinor laceration of celiac artery, initial encounter
- S35.211DMinor laceration of celiac artery, subsequent encounter
- S35.211SMinor laceration of celiac artery, sequela
- S35.212Major laceration of celiac artery
- S35.212AMajor laceration of celiac artery, initial encounter
- S35.212DMajor laceration of celiac artery, subsequent encounter
- S35.212SMajor laceration of celiac artery, sequela
- S35.218Other injury of celiac artery
- S35.218AOther injury of celiac artery, initial encounter
- S35.218DOther injury of celiac artery, subsequent encounter
- S35.218SOther injury of celiac artery, sequela
- S35.219Unspecified injury of celiac artery
- S35.219AUnspecified injury of celiac artery, initial encounter
- S35.219DUnspecified injury of celiac artery, subsequent encounter
- S35.219SUnspecified injury of celiac artery, sequela
- S35.22Injury of superior mesenteric artery
- S35.221Minor laceration of superior mesenteric artery
- S35.221AMinor laceration of superior mesenteric artery, initial encounter
- S35.221DMinor laceration of superior mesenteric artery, subsequent encounter
- S35.221SMinor laceration of superior mesenteric artery, sequela
- S35.222Major laceration of superior mesenteric artery
- S35.222AMajor laceration of superior mesenteric artery, initial encounter
- S35.222DMajor laceration of superior mesenteric artery, subsequent encounter
- S35.222SMajor laceration of superior mesenteric artery, sequela
- S35.228Other injury of superior mesenteric artery
- S35.228AOther injury of superior mesenteric artery, initial encounter
- S35.228DOther injury of superior mesenteric artery, subsequent encounter
- S35.228SOther injury of superior mesenteric artery, sequela
- S35.229Unspecified injury of superior mesenteric artery
- S35.229AUnspecified injury of superior mesenteric artery, initial encounter
- S35.229DUnspecified injury of superior mesenteric artery, subsequent encounter
- S35.229SUnspecified injury of superior mesenteric artery, sequela
- S35.23Injury of inferior mesenteric artery
- S35.231Minor laceration of inferior mesenteric artery
- S35.231AMinor laceration of inferior mesenteric artery, initial encounter
- S35.231DMinor laceration of inferior mesenteric artery, subsequent encounter
- S35.231SMinor laceration of inferior mesenteric artery, sequela
- S35.232Major laceration of inferior mesenteric artery
- S35.232AMajor laceration of inferior mesenteric artery, initial encounter
- S35.232DMajor laceration of inferior mesenteric artery, subsequent encounter
- S35.232SMajor laceration of inferior mesenteric artery, sequela
- S35.238Other injury of inferior mesenteric artery
- S35.238AOther injury of inferior mesenteric artery, initial encounter
- S35.238DOther injury of inferior mesenteric artery, subsequent encounter
- S35.238SOther injury of inferior mesenteric artery, sequela
- S35.239Unspecified injury of inferior mesenteric artery
- S35.239AUnspecified injury of inferior mesenteric artery, initial encounter
- S35.239DUnspecified injury of inferior mesenteric artery, subsequent encounter
- S35.239SUnspecified injury of inferior mesenteric artery, sequela
- S35.29Injury of branches of celiac and mesenteric artery
- S35.291Minor laceration of branches of celiac and mesenteric artery
- S35.291AMinor laceration of branches of celiac and mesenteric artery, initial encounter
- S35.291DMinor laceration of branches of celiac and mesenteric artery, subsequent encounter
- S35.291SMinor laceration of branches of celiac and mesenteric artery, sequela
- S35.292Major laceration of branches of celiac and mesenteric artery
- S35.292AMajor laceration of branches of celiac and mesenteric artery, initial encounter
- S35.292DMajor laceration of branches of celiac and mesenteric artery, subsequent encounter
- S35.292SMajor laceration of branches of celiac and mesenteric artery, sequela
- S35.298Other injury of branches of celiac and mesenteric artery
- S35.298AOther injury of branches of celiac and mesenteric artery, initial encounter
- S35.298DOther injury of branches of celiac and mesenteric artery, subsequent encounter
- S35.298SOther injury of branches of celiac and mesenteric artery, sequela
- S35.299Unspecified injury of branches of celiac and mesenteric artery
- S35.299AUnspecified injury of branches of celiac and mesenteric artery, initial encounter
- S35.299DUnspecified injury of branches of celiac and mesenteric artery, subsequent encounter
- S35.299SUnspecified injury of branches of celiac and mesenteric artery, sequela
- S35.3Injury of portal or splenic vein and branches
- S35.31Injury of portal vein
- S35.311Laceration of portal vein
- S35.311ALaceration of portal vein, initial encounter
- S35.311DLaceration of portal vein, subsequent encounter
- S35.311SLaceration of portal vein, sequela
- S35.318Other specified injury of portal vein
- S35.318AOther specified injury of portal vein, initial encounter
- S35.318DOther specified injury of portal vein, subsequent encounter
- S35.318SOther specified injury of portal vein, sequela
- S35.319Unspecified injury of portal vein
- S35.319AUnspecified injury of portal vein, initial encounter
- S35.319DUnspecified injury of portal vein, subsequent encounter
- S35.319SUnspecified injury of portal vein, sequela
- S35.32Injury of splenic vein
- S35.321Laceration of splenic vein
- S35.321ALaceration of splenic vein, initial encounter
- S35.321DLaceration of splenic vein, subsequent encounter
- S35.321SLaceration of splenic vein, sequela
- S35.328Other specified injury of splenic vein
- S35.328AOther specified injury of splenic vein, initial encounter
- S35.328DOther specified injury of splenic vein, subsequent encounter
- S35.328SOther specified injury of splenic vein, sequela
- S35.329Unspecified injury of splenic vein
- S35.329AUnspecified injury of splenic vein, initial encounter
- S35.329DUnspecified injury of splenic vein, subsequent encounter
- S35.329SUnspecified injury of splenic vein, sequela
- S35.33Injury of superior mesenteric vein
- S35.331Laceration of superior mesenteric vein
- S35.331ALaceration of superior mesenteric vein, initial encounter
- S35.331DLaceration of superior mesenteric vein, subsequent encounter
- S35.331SLaceration of superior mesenteric vein, sequela
- S35.338Other specified injury of superior mesenteric vein
- S35.338AOther specified injury of superior mesenteric vein, initial encounter
- S35.338DOther specified injury of superior mesenteric vein, subsequent encounter
- S35.338SOther specified injury of superior mesenteric vein, sequela
- S35.339Unspecified injury of superior mesenteric vein
- S35.339AUnspecified injury of superior mesenteric vein, initial encounter
- S35.339DUnspecified injury of superior mesenteric vein, subsequent encounter
- S35.339SUnspecified injury of superior mesenteric vein, sequela
- S35.34Injury of inferior mesenteric vein
- S35.341Laceration of inferior mesenteric vein
- S35.341ALaceration of inferior mesenteric vein, initial encounter
- S35.341DLaceration of inferior mesenteric vein, subsequent encounter
- S35.341SLaceration of inferior mesenteric vein, sequela
- S35.348Other specified injury of inferior mesenteric vein
- S35.348AOther specified injury of inferior mesenteric vein, initial encounter
- S35.348DOther specified injury of inferior mesenteric vein, subsequent encounter
- S35.348SOther specified injury of inferior mesenteric vein, sequela
- S35.349Unspecified injury of inferior mesenteric vein
- S35.349AUnspecified injury of inferior mesenteric vein, initial encounter
- S35.349DUnspecified injury of inferior mesenteric vein, subsequent encounter
- S35.349SUnspecified injury of inferior mesenteric vein, sequela
- S35.4Injury of renal blood vessels
- S35.40Unspecified injury of renal blood vessel
- S35.401Unspecified injury of right renal artery
- S35.401AUnspecified injury of right renal artery, initial encounter
- S35.401DUnspecified injury of right renal artery, subsequent encounter
- S35.401SUnspecified injury of right renal artery, sequela
- S35.402Unspecified injury of left renal artery
- S35.402AUnspecified injury of left renal artery, initial encounter
- S35.402DUnspecified injury of left renal artery, subsequent encounter
- S35.402SUnspecified injury of left renal artery, sequela
- S35.403Unspecified injury of unspecified renal artery
- S35.403AUnspecified injury of unspecified renal artery, initial encounter
- S35.403DUnspecified injury of unspecified renal artery, subsequent encounter
- S35.403SUnspecified injury of unspecified renal artery, sequela
- S35.404Unspecified injury of right renal vein
- S35.404AUnspecified injury of right renal vein, initial encounter
- S35.404DUnspecified injury of right renal vein, subsequent encounter
- S35.404SUnspecified injury of right renal vein, sequela
- S35.405Unspecified injury of left renal vein
- S35.405AUnspecified injury of left renal vein, initial encounter
- S35.405DUnspecified injury of left renal vein, subsequent encounter
- S35.405SUnspecified injury of left renal vein, sequela
- S35.406Unspecified injury of unspecified renal vein
- S35.406AUnspecified injury of unspecified renal vein, initial encounter
- S35.406DUnspecified injury of unspecified renal vein, subsequent encounter
- S35.406SUnspecified injury of unspecified renal vein, sequela
- S35.41Laceration of renal blood vessel
- S35.411Laceration of right renal artery
- S35.411ALaceration of right renal artery, initial encounter
- S35.411DLaceration of right renal artery, subsequent encounter
- S35.411SLaceration of right renal artery, sequela
- S35.412Laceration of left renal artery
- S35.412ALaceration of left renal artery, initial encounter
- S35.412DLaceration of left renal artery, subsequent encounter
- S35.412SLaceration of left renal artery, sequela
- S35.413Laceration of unspecified renal artery
- S35.413ALaceration of unspecified renal artery, initial encounter
- S35.413DLaceration of unspecified renal artery, subsequent encounter
- S35.413SLaceration of unspecified renal artery, sequela
- S35.414Laceration of right renal vein
- S35.414ALaceration of right renal vein, initial encounter
- S35.414DLaceration of right renal vein, subsequent encounter
- S35.414SLaceration of right renal vein, sequela
- S35.415Laceration of left renal vein
- S35.415ALaceration of left renal vein, initial encounter
- S35.415DLaceration of left renal vein, subsequent encounter
- S35.415SLaceration of left renal vein, sequela
- S35.416Laceration of unspecified renal vein
- S35.416ALaceration of unspecified renal vein, initial encounter
- S35.416DLaceration of unspecified renal vein, subsequent encounter
- S35.416SLaceration of unspecified renal vein, sequela
- S35.49Other specified injury of renal blood vessel
- S35.491Other specified injury of right renal artery
- S35.491AOther specified injury of right renal artery, initial encounter
- S35.491DOther specified injury of right renal artery, subsequent encounter
- S35.491SOther specified injury of right renal artery, sequela
- S35.492Other specified injury of left renal artery
- S35.492AOther specified injury of left renal artery, initial encounter
- S35.492DOther specified injury of left renal artery, subsequent encounter
- S35.492SOther specified injury of left renal artery, sequela
- S35.493Other specified injury of unspecified renal artery
- S35.493AOther specified injury of unspecified renal artery, initial encounter
- S35.493DOther specified injury of unspecified renal artery, subsequent encounter
- S35.493SOther specified injury of unspecified renal artery, sequela
- S35.494Other specified injury of right renal vein
- S35.494AOther specified injury of right renal vein, initial encounter
- S35.494DOther specified injury of right renal vein, subsequent encounter
- S35.494SOther specified injury of right renal vein, sequela
- S35.495Other specified injury of left renal vein
- S35.495AOther specified injury of left renal vein, initial encounter
- S35.495DOther specified injury of left renal vein, subsequent encounter
- S35.495SOther specified injury of left renal vein, sequela
- S35.496Other specified injury of unspecified renal vein
- S35.496AOther specified injury of unspecified renal vein, initial encounter
- S35.496DOther specified injury of unspecified renal vein, subsequent encounter
- S35.496SOther specified injury of unspecified renal vein, sequela
- S35.5Injury of iliac blood vessels
- S35.50Injury of unspecified iliac blood vessel(s)
- S35.50XAInjury of unspecified iliac blood vessel(s), initial encounter
- S35.50XDInjury of unspecified iliac blood vessel(s), subsequent encounter
- S35.50XSInjury of unspecified iliac blood vessel(s), sequela
- S35.51Injury of iliac artery or vein
- S35.511Injury of right iliac artery
- S35.511AInjury of right iliac artery, initial encounter
- S35.511DInjury of right iliac artery, subsequent encounter
- S35.511SInjury of right iliac artery, sequela
- S35.512Injury of left iliac artery
- S35.512AInjury of left iliac artery, initial encounter
- S35.512DInjury of left iliac artery, subsequent encounter
- S35.512SInjury of left iliac artery, sequela
- S35.513Injury of unspecified iliac artery
- S35.513AInjury of unspecified iliac artery, initial encounter
- S35.513DInjury of unspecified iliac artery, subsequent encounter
- S35.513SInjury of unspecified iliac artery, sequela
- S35.514Injury of right iliac vein
- S35.514AInjury of right iliac vein, initial encounter
- S35.514DInjury of right iliac vein, subsequent encounter
- S35.514SInjury of right iliac vein, sequela
- S35.515Injury of left iliac vein
- S35.515AInjury of left iliac vein, initial encounter
- S35.515DInjury of left iliac vein, subsequent encounter
- S35.515SInjury of left iliac vein, sequela
- S35.516Injury of unspecified iliac vein
- S35.516AInjury of unspecified iliac vein, initial encounter
- S35.516DInjury of unspecified iliac vein, subsequent encounter
- S35.516SInjury of unspecified iliac vein, sequela
- S35.53Injury of uterine artery or vein
- S35.531Injury of right uterine artery
- S35.531AInjury of right uterine artery, initial encounter
- S35.531DInjury of right uterine artery, subsequent encounter
- S35.531SInjury of right uterine artery, sequela
- S35.532Injury of left uterine artery
- S35.532AInjury of left uterine artery, initial encounter
- S35.532DInjury of left uterine artery, subsequent encounter
- S35.532SInjury of left uterine artery, sequela
- S35.533Injury of unspecified uterine artery
- S35.533AInjury of unspecified uterine artery, initial encounter
- S35.533DInjury of unspecified uterine artery, subsequent encounter
- S35.533SInjury of unspecified uterine artery, sequela
- S35.534Injury of right uterine vein
- S35.534AInjury of right uterine vein, initial encounter
- S35.534DInjury of right uterine vein, subsequent encounter
- S35.534SInjury of right uterine vein, sequela
- S35.535Injury of left uterine vein
- S35.535AInjury of left uterine vein, initial encounter
- S35.535DInjury of left uterine vein, subsequent encounter
- S35.535SInjury of left uterine vein, sequela
- S35.536Injury of unspecified uterine vein
- S35.536AInjury of unspecified uterine vein, initial encounter
- S35.536DInjury of unspecified uterine vein, subsequent encounter
- S35.536SInjury of unspecified uterine vein, sequela
- S35.59Injury of other iliac blood vessels
- S35.59XAInjury of other iliac blood vessels, initial encounter
- S35.59XDInjury of other iliac blood vessels, subsequent encounter
- S35.59XSInjury of other iliac blood vessels, sequela
- S35.8Injury of other blood vessels at abdomen, lower back and pelvis level
- S35.8XInjury of other blood vessels at abdomen, lower back and pelvis level
- S35.8X1Laceration of other blood vessels at abdomen, lower back and pelvis level
- S35.8X1ALaceration of other blood vessels at abdomen, lower back and pelvis level, initial encounter
- S35.8X1DLaceration of other blood vessels at abdomen, lower back and pelvis level, subsequent encounter
- S35.8X1SLaceration of other blood vessels at abdomen, lower back and pelvis level, sequela
- S35.8X8Other specified injury of other blood vessels at abdomen, lower back and pelvis level
- S35.8X8AOther specified injury of other blood vessels at abdomen, lower back and pelvis level, initial encounter
- S35.8X8DOther specified injury of other blood vessels at abdomen, lower back and pelvis level, subsequent encounter
- S35.8X8SOther specified injury of other blood vessels at abdomen, lower back and pelvis level, sequela
- S35.8X9Unspecified injury of other blood vessels at abdomen, lower back and pelvis level
- S35.8X9AUnspecified injury of other blood vessels at abdomen, lower back and pelvis level, initial encounter
- S35.8X9DUnspecified injury of other blood vessels at abdomen, lower back and pelvis level, subsequent encounter
- S35.8X9SUnspecified injury of other blood vessels at abdomen, lower back and pelvis level, sequela
- S35.9Injury of unspecified blood vessel at abdomen, lower back and pelvis level
- S35.90Unspecified injury of unspecified blood vessel at abdomen, lower back and pelvis level
- S35.90XAUnspecified injury of unspecified blood vessel at abdomen, lower back and pelvis level, initial encounter
- S35.90XDUnspecified injury of unspecified blood vessel at abdomen, lower back and pelvis level, subsequent encounter
- S35.90XSUnspecified injury of unspecified blood vessel at abdomen, lower back and pelvis level, sequela
- S35.91Laceration of unspecified blood vessel at abdomen, lower back and pelvis level
- S35.91XALaceration of unspecified blood vessel at abdomen, lower back and pelvis level, initial encounter
- S35.91XDLaceration of unspecified blood vessel at abdomen, lower back and pelvis level, subsequent encounter
- S35.91XSLaceration of unspecified blood vessel at abdomen, lower back and pelvis level, sequela
- S35.99Other specified injury of unspecified blood vessel at abdomen, lower back and pelvis level
- S35.99XAOther specified injury of unspecified blood vessel at abdomen, lower back and pelvis level, initial encounter
- S35.99XDOther specified injury of unspecified blood vessel at abdomen, lower back and pelvis level, subsequent encounter
- S35.99XSOther specified injury of unspecified blood vessel at abdomen, lower back and pelvis level, sequela
S35 MS-DRGs
As the principal diagnosis, the billable codes under S35 group to these 12 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 299 Peripheral Vascular Disorders with MCC (74 of 222 codes)
- DRG 300 Peripheral Vascular Disorders with CC (74 of 222 codes)
- DRG 301 Peripheral Vascular Disorders without CC/MCC (74 of 222 codes)
- DRG 913 Traumatic Injury with MCC (74 of 222 codes)
- DRG 914 Traumatic Injury without MCC (74 of 222 codes)
- DRG 949 Aftercare with CC/MCC (74 of 222 codes)
- DRG 950 Aftercare without CC/MCC (74 of 222 codes)
- DRG 963 Other Multiple Significant Trauma with MCC (74 of 222 codes)
- DRG 964 Other Multiple Significant Trauma with CC (74 of 222 codes)
- DRG 965 Other Multiple Significant Trauma without CC/MCC (74 of 222 codes)
- DRG 791 Prematurity with Major Problems (8 of 222 codes)
- DRG 793 Full Term Neonate with Major Problems (8 of 222 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Peripheral Nerve Disorders
Nerves are like wires that carry messages back and forth between your brain and your body. Your peripheral nerves branch off from your brain and spinal cord and connect to all parts of your body, including your muscles and organs. Peripheral nerves carry messages from your brain that control your movement, breathing, heartbeat, digestion, and more. They also carry messages from your body to your brain, so you can feel things, such as pain, heat, and cold.
Read more about peripheral nerve disorders on MedlinePlusWounds 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 MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
