Valid for Submission
S36.030S is a billable diagnosis code used to specify a medical diagnosis of superficial (capsular) laceration of spleen, sequela. The code S36.030S is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S36.030S might also be used to specify conditions or terms like capsular tear of spleen, capsular tear without major disruption of parenchyma of spleen and with open wound in abdominal cavity, capsular tear without major disruption of parenchyma of spleen and without open wound into abdominal cavity, injury of spleen with open wound into abdominal cavity, injury of spleen without open wound into abdominal cavity , laceration of spleen, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S36.030S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like superficial (capsular) laceration of spleen. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
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:
- A - initial encounter
- D - subsequent encounter
- S - sequela
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Capsular tear of spleen
- Capsular tear without major disruption of parenchyma of spleen AND with open wound in abdominal cavity
- Capsular tear without major disruption of parenchyma of spleen AND without open wound into abdominal cavity
- Injury of spleen with open wound into abdominal cavity
- Injury of spleen without open wound into abdominal cavity
- Laceration of spleen
- Laceration of spleen
- Minor laceration of spleen
Diagnostic Related Groups - MS-DRG Mapping
Present on Admission (POA)
Convert S36.030S to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S36.030S its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Also called: Splenic 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.
- Hypersplenism (Medical Encyclopedia)
- Spleen removal (Medical Encyclopedia)
- Spleen removal - laparoscopic - adults - discharge (Medical Encyclopedia)
- Spleen removal - open - adults - discharge (Medical Encyclopedia)
- Splenomegaly (Medical Encyclopedia)
[Learn More in MedlinePlus]
Wounds and Injuries
Also called: Traumatic 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
- Animal bites
- Electrical injuries
- Sprains and strains
- Bleeding (Medical Encyclopedia)
- Crush injury (Medical Encyclopedia)
- Cuts and puncture wounds (Medical Encyclopedia)
- Electrical injury (Medical Encyclopedia)
- Gunshot wounds -- aftercare (Medical Encyclopedia)
- How wounds heal (Medical Encyclopedia)
- Laceration - sutures or staples - at home (Medical Encyclopedia)
- Lacerations - liquid bandage (Medical Encyclopedia)
- Surgical wound care (Medical Encyclopedia)
- Surgical wound infection - treatment (Medical Encyclopedia)
- Wet to dry dressing changes (Medical Encyclopedia)
- Wound care centers (Medical Encyclopedia)
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