S36.03 — Laceration of spleen
Is S36.03 billable?
No — S36.03 is a non-billable header code. S36.03 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 12 billable codes beneath S36.03.
Billable codes under this header
- S36.030ASuperficial (capsular) laceration of spleen, initial encounter
- S36.030DSuperficial (capsular) laceration of spleen, subsequent encounter
- S36.030SSuperficial (capsular) laceration of spleen, sequela
- S36.031AModerate laceration of spleen, initial encounter
- S36.031DModerate laceration of spleen, subsequent encounter
- S36.031SModerate laceration of spleen, sequela
- S36.032AMajor laceration of spleen, initial encounter
- S36.032DMajor laceration of spleen, subsequent encounter
- S36.032SMajor laceration of spleen, sequela
- S36.039AUnspecified laceration of spleen, initial encounter
- S36.039DUnspecified laceration of spleen, subsequent encounter
- S36.039SUnspecified laceration of spleen, sequela
S36.03 at a glance
| Code | S36.03 |
|---|---|
| Description | Laceration of spleen |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Use additional code — inherited from Chapter 19
Report an additional code alongside S36.03 to fully describe the condition. S36.03 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 S36.03, but a patient may have both at the same time. When documentation supports it, S36.03 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S30-S39
The conditions below are not part of S36.03, but a patient may have both at the same time. When documentation supports it, S36.03 and the excluded code may both be reported.
Code also — inherited from S36
Two codes may be needed to describe the condition fully. Whether S36.03 is sequenced first depends on the reason for the encounter.
- any associated open wound (S31.-)
What codes fall under S36.03? (4)
How long has S36.03 existed?
S36.03 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.