2026 ICD-10-CM Diagnosis Code S37.069SMajor laceration of unspecified kidney, sequela
S37.069S is a billable ICD-10-CM diagnosis code for major laceration of unspecified kidney, 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
S37.069S 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.
- 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 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
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
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Convert S37.069S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S37.069SOverview
Is S37.069S (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, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S37.069S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the major laceration of unspecified kidney itself has resolved, not the original event.
What MS-DRG does S37.069S group to?
When major laceration of unspecified kidney, 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 S37.069S 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 unspecified kidney, sequela on inpatient claims.
What is the ICD-9 equivalent of S37.069S?
Under the General Equivalence Mappings, major laceration of unspecified kidney, 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.
