S36.251A (Moderate laceration of body of pancreas, initial encounter) compared with S36.251S (Moderate laceration of body of pancreas, sequela), from the official CMS tabular data. S36.251A and S36.251S code the same injury at a different phase of treatment.
Same underlying diagnosis, different encounter phase.
The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.
Source: ICD-10-CM Official Guidelines, Section I.C.19.a
Same injury, other encounter phase. S36.251A and S36.251S 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.
| S36.251AModerate laceration of body of pancreas, initial encounter | S36.251SModerate laceration of body of pancreas, 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 | Moderate laceration of body of pancreas, initial encounter is a billable ICD-10-CM diagnosis code (S36.251A). | Moderate laceration of body of pancreas, sequela is a billable ICD-10-CM diagnosis code (S36.251S). |
| 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