2022 ICD-10-CM Code S36.119A
Unspecified injury of liver, initial encounter
Code Classification
S36.119A is a billable diagnosis code used to specify a medical diagnosis of unspecified injury of liver, initial encounter. The code S36.119A is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S36.119A might also be used to specify conditions or terms like hepatic duct injury, injury of liver, injury of liver with open wound into abdominal cavity, injury of liver without open wound into abdominal cavity, injury to liver during surgery , injury to viscus during surgery, etc.
S36.119A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like unspecified injury of liver. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Unspecified diagnosis codes like S36.119A are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Hepatic duct injury
- Injury of liver
- Injury of liver with open wound into abdominal cavity
- Injury of liver without open wound into abdominal cavity
- Injury to liver during surgery
- Injury to viscus during surgery
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code S36.119A is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
MS-DRG | MS-DRG Title | MCD | Relative Weight |
---|---|---|---|
441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 07 | 1.8837 |
442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 07 | 0.9316 |
443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | 07 | 0.6628 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert S36.119A to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S36.119A 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.
- 864.00 - Liver injury NOS-closed (Approximate Flag)
Information for Patients
Liver Diseases
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
- Bruises
- Burns
- Dislocations
- Electrical injuries
- Fractures (broken bones)
- Sprains and strains
[Learn More in MedlinePlus]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
S36 | Injury of intra-abdominal organs | NON-BILLABLE CODE |
S36.0 | Injury of spleen | NON-BILLABLE CODE |
S36.00 | Unspecified injury of spleen | NON-BILLABLE CODE |
S36.00XA | Unspecified injury of spleen, initial encounter | BILLABLE CODE |
S36.00XD | Unspecified injury of spleen, subsequent encounter | BILLABLE CODE |
S36.00XS | Unspecified injury of spleen, sequela | BILLABLE CODE |
S36.02 | Contusion of spleen | NON-BILLABLE CODE |
S36.020 | Minor contusion of spleen | NON-BILLABLE CODE |
S36.020A | Minor contusion of spleen, initial encounter | BILLABLE CODE |
S36.020D | Minor contusion of spleen, subsequent encounter | BILLABLE CODE |
S36.020S | Minor contusion of spleen, sequela | BILLABLE CODE |
S36.021 | Major contusion of spleen | NON-BILLABLE CODE |
S36.021A | Major contusion of spleen, initial encounter | BILLABLE CODE |
S36.021D | Major contusion of spleen, subsequent encounter | BILLABLE CODE |
S36.021S | Major contusion of spleen, sequela | BILLABLE CODE |
S36.029 | Unspecified contusion of spleen | NON-BILLABLE CODE |
S36.029A | Unspecified contusion of spleen, initial encounter | BILLABLE CODE |
S36.029D | Unspecified contusion of spleen, subsequent encounter | BILLABLE CODE |
S36.029S | Unspecified contusion of spleen, sequela | BILLABLE CODE |
S36.03 | Laceration of spleen | NON-BILLABLE CODE |
S36.030 | Superficial (capsular) laceration of spleen | NON-BILLABLE CODE |
S36.030A | Superficial (capsular) laceration of spleen, initial encounter | BILLABLE CODE |
S36.030D | Superficial (capsular) laceration of spleen, subsequent encounter | BILLABLE CODE |
S36.030S | Superficial (capsular) laceration of spleen, sequela | BILLABLE CODE |
S36.031 | Moderate laceration of spleen | NON-BILLABLE CODE |
S36.031A | Moderate laceration of spleen, initial encounter | BILLABLE CODE |
S36.031D | Moderate laceration of spleen, subsequent encounter | BILLABLE CODE |
S36.031S | Moderate laceration of spleen, sequela | BILLABLE CODE |
S36.032 | Major laceration of spleen | NON-BILLABLE CODE |
S36.032A | Major laceration of spleen, initial encounter | BILLABLE CODE |
S36.032D | Major laceration of spleen, subsequent encounter | BILLABLE CODE |
S36.032S | Major laceration of spleen, sequela | BILLABLE CODE |
S36.039 | Unspecified laceration of spleen | NON-BILLABLE CODE |
S36.039A | Unspecified laceration of spleen, initial encounter | BILLABLE CODE |
S36.039D | Unspecified laceration of spleen, subsequent encounter | BILLABLE CODE |
S36.039S | Unspecified laceration of spleen, sequela | BILLABLE CODE |
S36.09 | Other injury of spleen | NON-BILLABLE CODE |
S36.09XA | Other injury of spleen, initial encounter | BILLABLE CODE |
S36.09XD | Other injury of spleen, subsequent encounter | BILLABLE CODE |
S36.09XS | Other injury of spleen, sequela | BILLABLE CODE |
S36.1 | Injury of liver and gallbladder and bile duct | NON-BILLABLE CODE |
S36.11 | Injury of liver | NON-BILLABLE CODE |
S36.112 | Contusion of liver | NON-BILLABLE CODE |
S36.112A | Contusion of liver, initial encounter | BILLABLE CODE |
S36.112D | Contusion of liver, subsequent encounter | BILLABLE CODE |
S36.112S | Contusion of liver, sequela | BILLABLE CODE |
S36.113 | Laceration of liver, unspecified degree | NON-BILLABLE CODE |
S36.113A | Laceration of liver, unspecified degree, initial encounter | BILLABLE CODE |
S36.113D | Laceration of liver, unspecified degree, subsequent encounter | BILLABLE CODE |
S36.113S | Laceration of liver, unspecified degree, sequela | BILLABLE CODE |
S36.114 | Minor laceration of liver | NON-BILLABLE CODE |
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)