2026 ICD-10-CM Diagnosis Code S36.116SMajor laceration of liver, sequela
S36.116S is a billable ICD-10-CM diagnosis code for major laceration of liver, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 393 through 395. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S36.116S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Delayed rupture of liver
- 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
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Convert S36.116S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S36.116SOverview
Is S36.116S (Major laceration of liver) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report major laceration of liver, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S36.116S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the major laceration of liver itself has resolved, not the original event.
What MS-DRG does S36.116S group to?
When major laceration of liver, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 393, 394, 395, with relative weights from 0.6490 to 1.5993 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S36.116S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for major laceration of liver, sequela on inpatient claims.
What is the ICD-9 equivalent of S36.116S?
Under the General Equivalence Mappings, major laceration of liver, sequela converts to ICD-9-CM 908.1 (late eff int inj abdomen). 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.
