S37.23XD ICD-10-CM Code: Laceration of bladder, subsequent 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, Appendix B.
- MS-DRG 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
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.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S37.23XD 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
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- obstetric trauma to pelvic organs (O71.-) Compare S37.23XD vs O71 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- injury of peritoneum (S36.81) Compare S37.23XD vs S36.81 →
- injury of retroperitoneum (S36.89-) Compare S37.23XD vs S36.89 →
- burns and corrosions (T20-T32) Compare S37.23XD vs T20 →
- effects of foreign body in anus and rectum (T18.5) Compare S37.23XD vs T18.5 →
- effects of foreign body in genitourinary tract (T19.-) Compare S37.23XD vs T19 →
- effects of foreign body in stomach, small intestine and colon (T18.2-T18.4) Compare S37.23XD vs T18.2 →
- frostbite (T33-T34) Compare S37.23XD vs T33 →
- insect bite or sting, venomous (T63.4) Compare S37.23XD vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated open wound (S31.-)
Frequently Compared Codes
The official Excludes notes on S37.23XD name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Other codes that name S37.23XD or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
1 Use Additional Code instructions: S38.1 (via S37.-).
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INJ047 — Internal organ injury, subsequent encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same injury, other encounter phase
Same injury, coded at a different phase of treatment via the 7th character.
S37.23XA — Laceration of bladder, initial encounter Compare S37.23XD vs S37.23XA →, S37.23XS — Laceration of bladder, sequela
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Internal organ injury, subsequent encounter).
S37.069D — Major laceration of unspecified kidney, subsequent encounter, S37.091D — Other injury of right kidney, subsequent encounter, S37.092D — Other injury of left kidney, subsequent encounter, S37.099D — Other injury of unspecified kidney, subsequent encounter, S37.10XD — Unspecified injury of ureter, subsequent encounter, S37.12XD — Contusion of ureter, subsequent encounter, S37.13XD — Laceration of ureter, subsequent encounter, S37.19XD — Other injury of ureter, subsequent encounter, S37.20XD — Unspecified injury of bladder, subsequent encounter, S37.22XD — Contusion of bladder, subsequent encounter, S37.29XD — Other injury of bladder, subsequent encounter, S37.30XD — Unspecified injury of urethra, subsequent encounter, S37.32XD — Contusion of urethra, subsequent encounter, S37.33XD — Laceration of urethra, subsequent encounter, S37.39XD — Other injury of urethra, subsequent encounter, S37.401D — Unspecified injury of ovary, unilateral, subsequent encounter, S37.402D — Unspecified injury of ovary, bilateral, subsequent encounter, S37.409D — Unspecified injury of ovary, unspecified, subsequent encounter, S37.421D — Contusion of ovary, unilateral, subsequent encounter, S37.422D — Contusion of ovary, bilateral, subsequent encounter, +242 more
Contextual Map
Every relationship of S37.23XD in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
- S30-S39 — Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals [Hierarchy]
Referenced by Use Additional Code instructions
- S38.1 — Crushing injury of abdomen, lower back, and pelvis [Use Additional Code](via S37.-): “injury to urinary and pelvic organs (S37.-)” · check together
Clinical classification (CCSR)
- INJ047 — Internal organ injury, subsequent encounter [CCSR]
Potential MS-DRG
- DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
- DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”
MDC crossing · procedures (1235)
- MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services [MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- F003GKZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GMZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GPZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GYZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GZZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- and 1230 more
Nearest codes (40)
- S37 — Injury of urinary and pelvic organs [Sibling]
- S37.12XS — Contusion of ureter, sequela [Sibling]
- S37.13 — Laceration of ureter [Sibling]
- S37.13XA — Laceration of ureter, initial encounter [Sibling]
- S37.13XD — Laceration of ureter, subsequent encounter [Sibling]
- S37.13XS — Laceration of ureter, sequela [Sibling]
- S37.19 — Other injury of ureter [Sibling]
- S37.19XA — Other injury of ureter, initial encounter [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S37.23XD require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S37.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S37.23XD in its code family, with their registry titles.
- S37.22XA — Contusion of bladder, initial encounter
- S37.22XD — Contusion of bladder, subsequent encounter
- S37.22XS — Contusion of bladder, sequela
- S37.23 — Laceration of bladder
- S37.23XA — Laceration of bladder, initial encounter
- S37.23XS — Laceration of bladder, sequela
- S37.29 — Other injury of bladder
- S37.29XA — Other injury of bladder, initial encounter
- S37.29XD — Other injury of bladder, subsequent encounter
- S37.29XS — Other injury of bladder, sequela