S36.039A is the authoritative medical code for Unspecified laceration of spleen, initial encounter. This classification is used in medical billing and clinical recording to specify the clinical criteria for unspecified laceration of spleen, initial encounter (ICD-10-CM S36.039A), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Unspecified laceration of spleen, initial encounter is a billable ICD-10-CM diagnosis code S36.039A. Includes: injuries to the abdominal wall; injuries to the anus; injuries to the buttock; injuries to the external genitalia; injuries to the flank; injuries to the groin. Excludes2 (not included here): 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: any associated open wound S31.-. 7th character: The appropriate 7th character is to be added to each code from category S36.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S36.039A in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- injuries to the abdominal wall
- injuries to the anus
- injuries to the buttock
- injuries to the external genitalia
- injuries to the flank
- injuries to the groin
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- 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
Additional codes that may be required to fully describe the encounter.
- any associated open wound S31.-
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S36.039A require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S36.
Can S36.039A be reported alongside related conditions?
Per Excludes2 instructions, S36.039A and the following may both be reported when both are present: 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).
Codes in This Family (40)
Official ICD-10-CM classifications in the same code family as S36.039A, with their registry titles.
- S36 — Injury of intra-abdominal organs
- S36.0 — Injury of spleen
- S36.00 — Unspecified injury of spleen
- S36.00A — Unspecified injury of spleen, initial encounter
- S36.00D — Unspecified injury of spleen, subsequent encounter
- S36.00S — Unspecified injury of spleen, sequela
- S36.00XA — Unspecified injury of spleen, initial encounter
- S36.00XD — Unspecified injury of spleen, subsequent encounter
- S36.00XS — Unspecified injury of spleen, sequela
- S36.02 — Contusion of spleen
- S36.020 — Minor contusion of spleen
- S36.020A — Minor contusion of spleen, initial encounter
- S36.020D — Minor contusion of spleen, subsequent encounter
- S36.020S — Minor contusion of spleen, sequela
- S36.021 — Major contusion of spleen
- S36.021A — Major contusion of spleen, initial encounter
- S36.021D — Major contusion of spleen, subsequent encounter
- S36.021S — Major contusion of spleen, sequela
- S36.029 — Unspecified contusion of spleen
- S36.029A — Unspecified contusion of spleen, initial encounter
- S36.029D — Unspecified contusion of spleen, subsequent encounter
- S36.029S — Unspecified contusion of spleen, sequela
- S36.03 — Laceration of spleen
- S36.030 — Superficial (capsular) laceration of spleen
- S36.030A — Superficial (capsular) laceration of spleen, initial encounter
- S36.030D — Superficial (capsular) laceration of spleen, subsequent encounter
- S36.030S — Superficial (capsular) laceration of spleen, sequela
- S36.031 — Moderate laceration of spleen
- S36.031A — Moderate laceration of spleen, initial encounter
- S36.031D — Moderate laceration of spleen, subsequent encounter
- S36.031S — Moderate laceration of spleen, sequela
- S36.032 — Major laceration of spleen
- S36.032A — Major laceration of spleen, initial encounter
- S36.032D — Major laceration of spleen, subsequent encounter
- S36.032S — Major laceration of spleen, sequela
- S36.039 — Unspecified laceration of spleen
- S36.039D — Unspecified laceration of spleen, subsequent encounter
- S36.039S — Unspecified laceration of spleen, sequela
- S36.09 — Other injury of spleen
- S36.09A — Other injury of spleen, initial encounter
Indexed Clinical Terms (2)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Injury, spleen, laceration
- Laceration, spleen
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:
ICD Code S32.039A
Unspecified fracture of third lumbar vertebra, initial encounter for closed fracture
ICD Code S37.039A
Laceration of unspecified kidney, unspecified degree, initial encounter
ICD Code S41.039A
Puncture wound without foreign body of unspecified shoulder, initial encounter