2027 ICD-10-CM Diagnosis Code S35Injury of blood vessels at abdomen, lower back and pelvis level

ICD-10-CM Codes›S00–T88›S30-S39›S35

ICD-10-CM S35
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S35 is a non-billable ICD-10-CM category code for injury of blood vessels at abdomen, lower back and pelvis level, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S35.00XA, S35.00XD, S35.00XS, and S35.01XA.

Code Identity

ICD-10-CM Code
S35
Billable Status
No — Non-Billable Category
Code Describes
Injury of blood vessels at abdomen, lower back and pelvis level
Short Description
Inj blood vessels at abdomen, low back and pelvis level
Chapter
S30-S39
Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS30-S39Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
CategoryS35Injury of blood vessels at abdomen, lower back and pelvis level
This CodeS35Injury of blood vessels at abdomen, lower back and pelvis level

Specific Coding for Inj blood vessels at abdomen, low back and pelvis levelOverview

Non-specific codes like S35 require more characters. Use one of these billable codes instead:

  • S35.0 for Injury of abdominal aorta

  • S35.00 for Unspecified injury of abdominal aorta

  • S35.01 for Minor laceration of abdominal aorta

  • S35.02 for Major laceration of abdominal aorta

  • S35.09 for Other injury of abdominal aorta

  • S35.1 for Injury of inferior vena cava

  • S35.10 for Unspecified injury of inferior vena cava

  • S35.11 for Minor laceration of inferior vena cava

  • S35.12 for Major laceration of inferior vena cava

  • S35.19 for Other injury of inferior vena cava

  • S35.2 for Injury of celiac or mesenteric artery and branches

  • S35.21 for Injury of celiac artery

  • S35.22 for Injury of superior mesenteric artery

  • S35.23 for Injury of inferior mesenteric artery

  • S35.29 for Injury of branches of celiac and mesenteric artery

  • S35.3 for Injury of portal or splenic vein and branches

  • S35.31 for Injury of portal vein

  • S35.32 for Injury of splenic vein

  • S35.33 for Injury of superior mesenteric vein

  • S35.34 for Injury of inferior mesenteric vein

  • S35.4 for Injury of renal blood vessels

  • S35.40 for Unspecified injury of renal blood vessel

  • S35.41 for Laceration of renal blood vessel

  • S35.49 for Other specified injury of renal blood vessel

  • S35.5 for Injury of iliac blood vessels

  • S35.50 for Injury of unspecified iliac blood vessel(s)

  • S35.51 for Injury of iliac artery or vein

  • S35.53 for Injury of uterine artery or vein

  • S35.59 for Injury of other iliac blood vessels

  • S35.8 for Injury of other blood vessels at abdomen, lower back and pelvis level

  • S35.8X for Injury of other blood vessels at abdomen, lower back and pelvis level

  • S35.9 for Injury of unspecified blood vessel at abdomen, lower back and pelvis level

  • S35.90 for Unspecified injury of unspecified blood vessel at abdomen, lower back and pelvis level

  • S35.91 for Laceration of unspecified blood vessel at abdomen, lower back and pelvis level

  • S35.99 for Other specified injury of unspecified blood vessel at abdomen, lower back and pelvis level

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of blood vessels at abdomen, lower back and pelvis level (S35). Use the following options for the applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S35: its own notes plus those printed at block S30-S39 and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • 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: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • 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)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

  • any associated open wound (S31.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

  • The appropriate 7th character is to be added to each code from category S35
Values for category S35 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

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Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S35Overview

What is the ICD-10 code for injury of blood vessels at abdomen, lower back and pelvis level?

S35 is the ICD-10-CM category for injury of blood vessels at abdomen, lower back and pelvis level, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is S35 a billable code?

No. This is a category header that groups the codes for injury of blood vessels at abdomen, lower back and pelvis level, and headers cannot be submitted on claims. Claims for injury of blood vessels at abdomen, lower back and pelvis level need a more specific code from this category, such as S35.00XA, S35.00XD, and S35.00XS.