S36.116A
S36.116A: Major laceration of liver, initial encounter
Billable / specific codeICD-10-CM
S36.116A is a billable, specific ICD-10-CM code for major laceration of liver, initial encounter. It is valid for submission on a claim.
Check S36.116A with the rest of the claim: free scrubber7th character "A": initial encounter
The appropriate 7th character is to be added to each code from category S36
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Laceration with significant disruption of hepatic parenchyma [i.e., greater than 10 cm long and 3 cm deep]
- Multiple moderate lacerations, with or without hematoma
- Stellate laceration of liver
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S36.116A is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56682Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography
- A57056Billing and Coding: Aortography and Peripheral Angiography
- A57205Billing and Coding: Oximetry Services
Code history
Unchanged in every release from FY2024 to FY2027.