ICDcodes.org
FY2027

S35.12XAMajor laceration of inferior vena cava, initial encounter

BillableMCC

Is S35.12XA billable?

Yes — S35.12XA is billable for FY2027. S35.12XA is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S35.12XA may be submitted for encounters from October 1, 2026 through September 30, 2027.

S35.12XA at a glance

CodeS35.12XA
DescriptionMajor laceration of inferior vena cava, initial encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "A"initial encounter

What does the 7th character "A" mean in S35.12XA?

In S35.12XA, the 7th character A means initial encounter. The 7th character is required for S35.12XA to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does S35.12XA group to?

S35.12XA sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 791Prematurity with Major Problemsmedical

As a secondary diagnosis, S35.12XA is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.

How is S35.12XA listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S35.12, the nearest indexed parent of S35.12XA. Use them to find the family, then select the specific code.

  • Injuryvena cavainferiorlacerationmajor

Inclusion terms

Alternative wording in documentation that is classified to S35.12XA.

  • Complete transection of inferior vena cava
  • Traumatic rupture of inferior vena cava

Excludes1 — never code together — inherited from S35.1

The conditions below can never be reported together with S35.12XA on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • injury of vena cava NOS (S25.2)

Use additional code — inherited from Chapter 19

Report an additional code alongside S35.12XA to fully describe the condition. S35.12XA is sequenced first.

  • code to identify any retained foreign body, if applicable (Z18.-)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of S35.12XA, but a patient may have both at the same time. When documentation supports it, S35.12XA and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S30-S39

The conditions below are not part of S35.12XA, but a patient may have both at the same time. When documentation supports it, S35.12XA and the excluded code may both be reported.

  • 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)

Code also — inherited from S35

Two codes may be needed to describe the condition fully. Whether S35.12XA is sequenced first depends on the reason for the encounter.

  • any associated open wound (S31.-)

How long has S35.12XA existed?

S35.12XA has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.