2027 ICD-10-CM Diagnosis Code S36.69XAOther injury of rectum, initial encounter

ICD-10-CM Codes›S00–T88›S30-S39›S36

ICD-10-CM S36.69XA
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S36.69XA is a billable ICD-10-CM diagnosis code for other injury of rectum, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 393 through 395, 963 through 965. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 189 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Internal organ injury, initial encounter.

Code Identity

ICD-10-CM Code
S36.69XA
Billable Status
Yes — Valid for Submission
Code Describes
Other injury of rectum, initial encounter
Short Description
Other injury of rectum, initial encounter
Same as the full description in the CMS dataset.
Parent Code
S36.69
Other injury of rectum

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 CodeS36.69XAOther injury of rectum, initial encounter

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 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S36.69XA: its own notes plus those printed at S36, block S30-S39, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • injuries to the abdominal wall
  • injuries to the anus
  • injuries to the buttock
  • injuries to the external genitalia
  • injuries to the flank
  • injuries to the groin

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • burns and corrosions (T20-T32)
  • effects of foreign body in anus and rectum (T18.5)
  • effects of foreign body in genitourinary tract (T19.-)
  • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From S36 Injury of intra-abdominal organs applies to 336 codes
  • any associated open wound (S31.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From S36 Injury of intra-abdominal organs applies to 336 codes
  • The appropriate 7th character is to be added to each code from category S36
Values for category S36 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter this code
  • Dsubsequent encounter
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name S36.69XA, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming S36.69XA: its condition is not part of those codes, and both may be reported when the patient has both.

  • S36.5 Injury of colon
    injury of rectum (S36.6-) names S36.6-, which includes this code

Use Additional Code 1

These codes say to use an additional code from the note, and S36.69XA is one of the codes named.

  • S38.1 Crushing injury of abdomen, lower back, and pelvis
    injury to intra-abdominal organs (S36.-) names S36.-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ010
Internal organ injury, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Rectal Disorders

The rectum is the lower part of your large intestine where your body stores stool. Problems with the rectum are common. They include hemorrhoids, abscesses, incontinence and cancer.

Read the full article at MedlinePlus

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

Convert S36.69XA to ICD-9-CMHistory

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

ICD-9-CM
863.45 Rectum injury-closed
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S36.69XAOverview

What is the ICD-10 code for other injury of rectum, initial encounter?

The ICD-10-CM code for other injury of rectum, initial encounter is S36.69XA (sometimes written as S3669XA). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is S36.69XA (Other injury of rectum) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other injury of rectum, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in S36.69XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for other injury of rectum, such as an emergency visit or first evaluation.

What MS-DRG does S36.69XA group to?

When other injury of rectum, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 394, 964, 965, 395, 393, 963, with relative weights from 0.6379 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S36.69XA a CC or MCC?

CMS lists S36.69XA as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 189 closely related codes in its exclusion list.