MCMCB Pro
S35.491A

S35.491AOther specified injury of right renal artery, initial encounter

Billable / specific codeICD-10-CMright

S35.491A is a billable, specific ICD-10-CM code for other specified injury of right renal artery, initial encounter. It is valid for submission on a claim.

7th character "A" — initial encounter

The appropriate 7th character is to be added to each code from category S35

A
initial encounter
D
subsequent encounter
S
sequela

Risk adjustment

S35.491A 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

S35.491A is named in 11 Medicare coverage policies 11 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
  • A56682Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography
  • A56697Billing and Coding: Non-Invasive Vascular Studies
  • A56747Billing and Coding: Magnetic Resonance Angiography (MRA)

Related codes at this level

Codes that share S35.491. If S35.491A is not quite right, the correct code is usually one of these.

Questions about S35.491A

Is S35.491A a billable ICD-10-CM code?
Yes. S35.491A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S35.491A 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.