S36.09XA ICD-10-CM Code: Other injury of spleen, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 791 — PREMATURITY WITH MAJOR PROBLEMS (MDC 15)
- MS-DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)
- MS-DRG 814 — RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC (MDC 16)
- MS-DRG 815 — RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC (MDC 16)
- MS-DRG 816 — RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC (MDC 16)
- MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
- MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
- MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S36.09XA 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 S36.09XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S36.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S36.09XA in its code family, with their registry titles.
- S36.039 — Unspecified laceration of spleen
- S36.039A — Unspecified laceration of spleen, initial encounter
- S36.039D — Unspecified laceration of spleen, subsequent encounter
- S36.039S — Unspecified laceration of spleen, sequela
- S36.09 — Other injury of spleen
- S36.09XD — Other injury of spleen, subsequent encounter
- S36.09XS — Other injury of spleen, sequela
- S36.1 — Injury of liver and gallbladder and bile duct
- S36.11 — Injury of liver
- S36.112 — Contusion of liver