Not Valid for Submission
S36.115 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of moderate laceration of liver. 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.
The ICD-10-CM code S36.115 might also be used to specify conditions or terms like injury of liver with open wound into abdominal cavity, injury of liver without open wound into abdominal cavity, laceration of liver with open wound into abdominal cavity, liver moderate laceration with open wound into cavity, moderate laceration of liver with open wound into abdominal cavity , moderate laceration of liver without open wound into abdominal cavity, etc.
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
Specific Coding for Moderate laceration of liver
Non-specific codes like S36.115 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 moderate laceration of liver:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code S36.115:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Laceration involving parenchyma but without major disruption of parenchyma i.e., less than 10 cm long and less than 3 cm deep
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code S36.115 are found in the index:
- - Injury - See Also: specified injury type; - T14.90
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Injury of liver with open wound into abdominal cavity
- Injury of liver without open wound into abdominal cavity
- Laceration of liver with open wound into abdominal cavity
- Liver moderate laceration with open wound into cavity
- Moderate laceration of liver with open wound into abdominal cavity
- Moderate laceration of liver without open wound into abdominal cavity
Information for Patients
Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons.
There are many kinds of liver diseases:
- Diseases caused by viruses, such as hepatitis A, hepatitis B, and hepatitis C
- Diseases caused by drugs, poisons, or too much alcohol. Examples include fatty liver disease and cirrhosis.
- Liver cancer
- Inherited diseases, such as hemochromatosis and Wilson disease
Symptoms of liver disease can vary, but they often include swelling of the abdomen and legs, bruising easily, changes in the color of your stool and urine, and jaundice, or yellowing of the skin and eyes. Sometimes there are no symptoms. Tests such as imaging tests and liver function tests can check for liver damage and help to diagnose liver diseases.
[Learn More in MedlinePlus]
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
- Animal bites
- Electrical injuries
- Fractures (broken bones)
- Sprains and strains
[Learn More in MedlinePlus]