S36.00XA vs S36.00XS
S36.00XA (Unspecified injury of spleen, initial encounter) compared with S36.00XS (Unspecified injury of spleen, sequela), from the official CMS tabular data. S36.00XA and S36.00XS code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S36.00XA and S36.00XS code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
Side by side
| S36.00XAUnspecified injury of spleen, initial encounter | S36.00XSUnspecified injury of spleen, sequela | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Unspecified injury of spleen, initial encounter is a billable ICD-10-CM diagnosis code (S36.00A). | Unspecified injury of spleen, sequela is a billable ICD-10-CM diagnosis code (S36.00S). |
| 7th character | The appropriate 7th character is to be added to each code from category S36 | The appropriate 7th character is to be added to each code from category S36 |
| Includes | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia | 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