2027 ICD-10-CM Diagnosis Code S37.069AMajor laceration of unspecified kidney, initial encounter

ICD-10-CM Codes›S00–T88›S30-S39›S37

ICD-10-CM S37.069A
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S37.069A is a billable ICD-10-CM diagnosis code for major laceration of unspecified kidney, 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 698 through 700, 963 through 965. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 184 closely related codes. The code is flagged as an unspecified code, since codes identifying laterality exist in the same family. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Internal organ injury, initial encounter.

Code Identity

ICD-10-CM Code
S37.069A
Billable Status
Yes — Valid for Submission
Code Describes
Major laceration of unspecified kidney, initial encounter
Short Description
Major laceration of unspecified kidney, initial encounter
Same as the full description in the CMS dataset.
Parent Code
S37.069
Major laceration of unspecified kidney

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
CategoryS37Injury of urinary and pelvic organs
This CodeS37.069AMajor laceration of unspecified kidney, initial encounter

Code EditsBilling

Medicare Code Editor checks that affect claim validity for S37.069A.

Unspecified codes
Unspecified codes exist in the ICD-10-CM classification for circumstances when documentation in the medical record does not provide the level of detail needed to support reporting a more specific code. However, in the inpatient setting, there should generally be very limited and rare circumstances for which the laterality (right, left, bilateral) of a condition is unable to be documented and reported. The following pages contain the list of unspecified ICD-10-CM diagnosis codes for which there is a more specific code to identify laterality (right, left, bilateral) within that code family.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Avulsion of kidney
  • Complete disruption of kidney parenchyma with open wound into cavity
  • Disruption of pelviureteric junction
  • Injury of kidney with open wound into abdominal cavity
  • Partial rupture of ureteropelvic junction
  • Partial traumatic rupture of ureteropelvic junction
  • Retroperitoneum injury with open wound into cavity
  • Rupture of kidney
  • Rupture of renal pelvis
  • Rupture of ureter
  • Traumatic rupture of kidney

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of urinary and pelvic organs (S37). 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 S37.069A: its own notes plus those printed at S37.0, S37, 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

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From S37 Injury of urinary and pelvic organs applies to 249 codes
  • obstetric trauma to pelvic organs (O71.-)

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 S37.0 Injury of kidney applies to 72 codes
  • acute kidney injury (nontraumatic) (N17.9)
From S37 Injury of urinary and pelvic organs applies to 249 codes
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 S37 Injury of urinary and pelvic organs applies to 249 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 S37 Injury of urinary and pelvic organs applies to 249 codes
  • The appropriate 7th character is to be added to each code from category S37
Values for category S37 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 S37.069A, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming S37.069A: its condition is not part of those codes, and both may be reported when the patient has both.

  • N17.9 Acute kidney failure, unspecified
    traumatic kidney injury (S37.0-) names S37.0-, which includes this code

Use Additional Code 1

These codes say to use an additional code from the note, and S37.069A is one of the codes named.

  • S38.1 Crushing injury of abdomen, lower back, and pelvis
    injury to urinary and pelvic organs (S37.-) names S37.-, 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

Kidney Diseases

You have two kidneys, each about the size of your fist. They are near the middle of your back, just below the rib cage. Inside each kidney there are about a million tiny structures called nephrons. They filter your blood. They remove wastes and extra water, which become urine. The urine flows through tubes called ureters.

Read the full article at MedlinePlus

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

Convert S37.069A to ICD-9-CMHistory

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

ICD-9-CM
866.03 Kidney disruption-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 S37.069AOverview

What is the ICD-10 code for major laceration of unspecified kidney, initial encounter?

The ICD-10-CM code for major laceration of unspecified kidney, initial encounter is S37.069A (sometimes written as S37069A). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is S37.069A (Major laceration of unspecified kidney) a billable code?

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

What does the 7th character A in S37.069A mean?

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

What MS-DRG does S37.069A group to?

When major laceration of unspecified kidney, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 964, 965, 699, 698, 963, 700, with relative weights from 0.6740 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S37.069A a CC or MCC?

CMS lists S37.069A as an MCC (major complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 184 closely related codes in its exclusion list.