D73.5 vs S36.03
D73.5 (Infarction of spleen) compared with S36.03 (Laceration of spleen), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. D73.5 carries an Excludes1 note covering S36.03: “traumatic rupture of spleen (S36.03-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| D73.5Infarction of spleen | S36.03Laceration of spleen | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S36.030A, S36.030D, S36.030S, S36.031A, S36.031D |
| Classification | D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Infarction of spleen is a billable ICD-10-CM diagnosis code (D73.5). | Laceration of spleen is a non-billable ICD-10-CM category code (S36.03). |
| 7th character | — | The appropriate 7th character is to be added to each code from category S36 |
| Includes | Splenic rupture, nontraumatic Torsion of spleen | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources