2027 ICD-10-CM Diagnosis Code S36.90XAUnspecified injury of unspecified intra-abdominal organ, initial encounter

ICD-10-CM Codes›S00–T88›S30-S39›S36

ICD-10-CM S36.90XA
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S36.90XA is a billable ICD-10-CM diagnosis code for unspecified injury of unspecified intra-abdominal organ, 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 160 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
S36.90XA
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified injury of unspecified intra-abdominal organ, initial encounter
Short Description
Unsp injury of unsp intra-abdominal organ, init encntr
Parent Code
S36.90
Unspecified injury of unspecified intra-abdominal organ

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 CodeS36.90XAUnspecified injury of unspecified intra-abdominal organ, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abdominal cavity injury
  • Accidental injury of intestine during surgical procedure
  • Crushing injury of abdomen
  • Gastrointestinal and digestive injury
  • Injury of gastrointestinal tract
  • Injury of gastrointestinal tract with open wound into abdominal cavity
  • Injury of gastrointestinal tract without open wound into abdominal cavity
  • Injury of intestine
  • Injury of intestine with open wound into abdominal cavity
  • Injury of intestine without open wound into abdominal cavity
  • Injury of multiple intra-abdominal organs
  • Injury of multiple intra-abdominal organs with open wound into abdominal cavity
  • Injury of multiple intra-abdominal organs without open wound into abdominal cavity
  • Injury to intestine during surgery
  • Internal injury of abdominal organ
  • Internal injury of abdominal organs with open wound into cavity
  • Internal injury of abdominal organs without open wound into cavity
  • Multiple injuries of intestine
  • Severe crushing injury of abdominal organs
  • Severe crushing injury of abdominal organs with open wound into cavity

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 S36.90XA: 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 S36.90XA, its category, or a range that includes it.

Use Additional Code 1

These codes say to use an additional code from the note, and S36.90XA 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

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.

Read the full article at MedlinePlus

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

Convert S36.90XA to ICD-9-CMHistory

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

ICD-9-CM
868.00 Intra-abdom inj NOS-clos
Approximate The match is approximate rather than exact.
ICD-9-CM
869.0 Internal inj NOS-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 S36.90XAOverview

Is S36.90XA (Unspecified injury of unspecified intra-abdominal organ) a billable code?

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

What does the 7th character A in S36.90XA mean?

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

What MS-DRG does S36.90XA group to?

When unspecified injury of unspecified intra-abdominal organ, 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 S36.90XA a CC or MCC?

CMS lists S36.90XA 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 160 closely related codes in its exclusion list.

What is the ICD-9 equivalent of S36.90XA?

Under the General Equivalence Mappings, unspecified injury of unspecified intra-abdominal organ, initial encounter converts to ICD-9-CM 868.00 (intra-abdom inj NOS-clos) and 869.0 (internal inj NOS-closed). The mapping is approximate, so confirm the match fits the documentation.