2022 ICD-10-CM Code S36.0

Injury of spleen

Version 2021

Not Valid for Submission

ICD-10:S36.0
Short Description:Injury of spleen
Long Description:Injury of spleen

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)
      • Injury of intra-abdominal organs (S36)

S36.0 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of injury of spleen. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Injury of intra-abdominal organs (S36). Use the following options for the aplicable episode of care:

Specific Coding for Injury of spleen

Non-specific codes like S36.0 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for injury of spleen:

  • NON-BILLABLE CODE - S36.00 for Unspecified injury of spleen
  • BILLABLE CODE - Use S36.00XA for initial encounter
  • BILLABLE CODE - Use S36.00XD for subsequent encounter
  • BILLABLE CODE - Use S36.00XS for sequela
  • NON-BILLABLE CODE - S36.02 for Contusion of spleen
  • NON-BILLABLE CODE - S36.020 for Minor contusion of spleen
  • BILLABLE CODE - Use S36.020A for initial encounter
  • BILLABLE CODE - Use S36.020D for subsequent encounter
  • BILLABLE CODE - Use S36.020S for sequela
  • NON-BILLABLE CODE - S36.021 for Major contusion of spleen
  • BILLABLE CODE - Use S36.021A for initial encounter
  • BILLABLE CODE - Use S36.021D for subsequent encounter
  • BILLABLE CODE - Use S36.021S for sequela
  • NON-BILLABLE CODE - S36.029 for Unspecified contusion of spleen
  • BILLABLE CODE - Use S36.029A for initial encounter
  • BILLABLE CODE - Use S36.029D for subsequent encounter
  • BILLABLE CODE - Use S36.029S for sequela
  • NON-BILLABLE CODE - S36.03 for Laceration of spleen
  • NON-BILLABLE CODE - S36.030 for Superficial (capsular) laceration of spleen
  • BILLABLE CODE - Use S36.030A for initial encounter
  • BILLABLE CODE - Use S36.030D for subsequent encounter
  • BILLABLE CODE - Use S36.030S for sequela
  • NON-BILLABLE CODE - S36.031 for Moderate laceration of spleen
  • BILLABLE CODE - Use S36.031A for initial encounter
  • BILLABLE CODE - Use S36.031D for subsequent encounter
  • BILLABLE CODE - Use S36.031S for sequela
  • NON-BILLABLE CODE - S36.032 for Major laceration of spleen
  • BILLABLE CODE - Use S36.032A for initial encounter
  • BILLABLE CODE - Use S36.032D for subsequent encounter
  • BILLABLE CODE - Use S36.032S for sequela
  • NON-BILLABLE CODE - S36.039 for Unspecified laceration of spleen
  • BILLABLE CODE - Use S36.039A for initial encounter
  • BILLABLE CODE - Use S36.039D for subsequent encounter
  • BILLABLE CODE - Use S36.039S for sequela
  • NON-BILLABLE CODE - S36.09 for Other injury of spleen
  • BILLABLE CODE - Use S36.09XA for initial encounter
  • BILLABLE CODE - Use S36.09XD for subsequent encounter
  • BILLABLE CODE - Use S36.09XS for sequela

Information for Patients


Spleen Diseases

Your spleen is an organ above your stomach and under your ribs on your left side. It is about as big as your fist. The spleen is part of your lymphatic system, which fights infection and keeps your body fluids in balance. It contains white blood cells that fight germs. Your spleen also helps control the amount of blood in your body, and destroys old and damaged cells.

Certain diseases might cause your spleen to swell. You can also damage or rupture your spleen in an injury, especially if it is already swollen. If your spleen is too damaged, you might need surgery to remove it. You can live without a spleen. Other organs, such as your liver, will take over some of the spleen's work. Without a spleen, however, your body will lose some of its ability to fight infections.


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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.

Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.

Other common types of injuries include


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Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)