S35.12XS — Major laceration of inferior vena cava, sequela
S35.12XS is a billable, specific ICD-10-CM code for major laceration of inferior vena cava, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S35
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Complete transection of inferior vena cava
- Traumatic rupture of inferior vena cava
Risk adjustment
S35.12XS does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S35.12XS is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A56758Billing and Coding: Non-Invasive Vascular Studies
Related codes at this level
Codes that share S35.12. If S35.12XS is not quite right, the correct code is usually one of these.
Questions about S35.12XS
- Is S35.12XS a billable ICD-10-CM code?
- Yes. S35.12XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S35.12XS sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).