S36Not billable, use a more specific code below

Injury of intra-abdominal organs

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

336 billable codes under S36: 4 are an MCC, 108 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Advertisements

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 S36.

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

  • burns and corrosions (T20-T32)
  • effects of foreign body in anus and rectum (T18.5)
  • effects of foreign body in genitourinary tract (T19.-)
  • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
  • frostbite (T33-T34)
  • 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 S36

S36 can't be used on a claim. Pick a billable code below; grey headings group them.

S36 MS-DRGs

As the principal diagnosis, the billable codes under S36 group to these 24 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 S36

Notes on these codes point to S36.

  • S38.1 Use Additional Code: injury to intra-abdominal organs (S36.-)

Code history

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