2026 ICD-10-CM Diagnosis Code S36.202DUnspecified injury of tail of pancreas, subsequent encounter

ICD-10-CM Codes›S00–T88›S30-S39›S36

ICD-10-CM S36.202D
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S36.202D is a billable ICD-10-CM diagnosis code for unspecified injury of tail of pancreas, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as injury of tail of pancreas with open wound into abdominal cavity. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Internal organ injury, subsequent encounter.

Code Identity

ICD-10-CM Code
S36.202D
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified injury of tail of pancreas, subsequent encounter
Short Description
Unspecified injury of tail of pancreas, subsequent encounter
Same as the full description in the CMS dataset.
Parent Code
S36.202
Unspecified injury of tail of pancreas

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS30-S39Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
CategoryS36Injury of intra-abdominal organs
This CodeS36.202DUnspecified injury of tail of pancreas, subsequent encounter

Present on Admission (POA)Billing

S36.202D 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.

  • Injury of tail of pancreas with open wound into abdominal cavity
  • Injury of tail of pancreas without open wound into abdominal cavity
  • Retroperitoneum injury with open wound into cavity
  • Traumatic injury of tail of pancreas

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.

CCSR INJ047
Internal organ injury, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Pancreatic Diseases

The pancreas is a gland behind your stomach and in front of your spine. It produces juices that help break down food and hormones that help control blood sugar levels. Problems with the pancreas can lead to many health problems. These include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S36.202D to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V58.89 Other specfied aftercare
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S36.202DOverview

Is S36.202D (Unspecified injury of tail of pancreas) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified injury of tail of pancreas, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character D in S36.202D mean?

The final character D marks a subsequent encounter: use it for routine care while the unspecified injury of tail of pancreas is healing, after active treatment has ended.

What MS-DRG does S36.202D group to?

When unspecified injury of tail of pancreas, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S36.202D 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 unspecified injury of tail of pancreas, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S36.202D?

Under the General Equivalence Mappings, unspecified injury of tail of pancreas, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). 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.