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Home/Diagnosis/ICD-10 Coding for Liver Laceration

ICD-10 Coding for Liver Laceration

S36.114
S36.115
S36.116

Complete ICD-10-CM coding and documentation guide for icd-10 coding for liver laceration includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Hepatic Laceration
Liver Tear
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Key Information: ICD-10 Coding for Liver Laceration

Essential facts and insights about ICD-10 Coding for Liver Laceration

Use ICD-10 code S36.114 for minor laceration of liver, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Minor laceration of liver

Non-Billable
S36.114
Non-Billable

Diagnostic Criteria

clinical:
  • CT scan shows capsular tear or parenchymal depth <1 cm

Applicable To

  • • Capsular tear
  • • Parenchymal depth <1 cm

Important Notes

  • • Ensure depth is documented to avoid using unspecified codes.

Moderate laceration of liver

Non-Billable
S36.115
Non-Billable

Diagnostic Criteria

clinical:
  • CT scan showing parenchymal depth 1–3 cm and length <10 cm

Applicable To

  • • Parenchymal depth 1–3 cm
  • • Length <10 cm

Important Notes

  • • Ensure both depth and length are documented to avoid misclassification.

Major laceration of liver

Non-Billable
S36.116
Non-Billable

Diagnostic Criteria

clinical:
  • CT scan showing parenchymal disruption >10 cm long or >3 cm deep

Applicable To

  • • Parenchymal disruption >10 cm long
  • • Parenchymal depth >3 cm

Important Notes

  • • Ensure depth and length are documented to avoid using unspecified codes.

Unspecified laceration of liver

Billable Code
S36.113A
Billable

Diagnostic Criteria

clinical:
  • Lack of specific depth or length documentation

Important Notes

  • • Avoid using this code if specific measurements are available.
Ancillary Codes

Additional codes that may be used with this diagnosis

S31.8XXA

Open wound of abdomen, initial encounter

Use if there is an associated open wound.

Frequently Asked Questions

What is the ICD-10 code for a minor liver laceration?

The ICD-10 code for a minor liver laceration is S36.114, used when the laceration involves a capsular tear or parenchymal depth less than 1 cm.

How do you code a major liver laceration?

For a major liver laceration, use ICD-10 code S36.116, applicable when the parenchymal disruption is over 10 cm long or more than 3 cm deep.

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