2026 ICD-10-CM Diagnosis Code S36.116AMajor laceration of liver, initial encounter
S36.116A is a billable ICD-10-CM diagnosis code for major laceration of liver, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 441 through 443, 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Internal organ injury, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this 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
- Major laceration of liver with open wound into abdominal cavity
- Major laceration of liver without open wound into abdominal cavity
- Rupture of liver
- Stellate laceration of liver with open wound into abdominal cavity
- Stellate laceration of liver without open wound into abdominal cavity
- Traumatic rupture of liver
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Liver Diseases
Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S36.116A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S36.116AOverview
Is S36.116A (Major laceration of liver) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report major laceration of liver, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S36.116A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for major laceration of liver, such as an emergency visit or first evaluation.
What MS-DRG does S36.116A group to?
When major laceration of liver, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 441, 442, 443, 963, 964, 965, with relative weights from 0.6997 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S36.116A?
Under the General Equivalence Mappings, major laceration of liver, initial encounter converts to ICD-9-CM 864.04 (liver laceration, major). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
