S36.898D
S36.898D — Other injury of other intra-abdominal organs, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
S36.898D is a billable, specific ICD-10-CM code for other injury of other intra-abdominal organs, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category S36
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S36.898D 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
S36.898D is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Related codes at this level
Codes that share S36.898. If S36.898D is not quite right, the correct code is usually one of these.
Questions about S36.898D
- Is S36.898D a billable ICD-10-CM code?
- Yes. S36.898D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S36.898D 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).