S36: Injury of intra-abdominal organs

ICD10 code S36 represents Injury of intra-abdominal organs, which includes a range of external and internal trauma affecting the abdomen, lower back, pelvis, and external genitalia structures.

Symptoms

• Surface bruises, abrasions, or trauma to the abdomen and pelvis – S30
• Open wounds and lacerations of abdominal and pelvic areas – S31
• Fractures of lumbar vertebrae or pelvic bones – S32
• Sprains, ligament tears, and joint dislocations in the lower spine and pelvis – S33
• Nerve injuries leading to motor or sensory loss at lower back and pelvis – S34
• Vascular damage causing bleeding in abdominal and pelvic regions – S35
• Organ trauma involving liver, spleen, intestines, bladder – S36
• Urinary system or genital organ injuries – S37
• Severe crush injuries or amputations – S38
• Other complex or unspecified abdominal-pelvic injuries – S39

Diagnosis

Evaluation of these injuries typically involves clinical examination, Focused Assessment with Sonography for Trauma (FAST), abdominal CT scans, MRI, and angiography to assess internal organ damage, vascular injuries, or fractures.

ICD10 Code Usage

S36 is widely utilized in trauma registries, emergency department documentation, surgical coding, insurance billing, and medico-legal reports relating to abdominal and pelvic injuries.

Related Codes

• S30 – Superficial injury of abdomen, lower back, pelvis and external genitals
• S31 – Open wound of abdomen, lower back, pelvis and external genitals
• S32 – Fracture of lumbar spine and pelvis
• S33 – Dislocation and sprain of joints and ligaments of lumbar spine and pelvis
• S34 – Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level
• S35 – Injury of blood vessels at abdomen, lower back and pelvis level
• S37 – Injury of urinary and pelvic organs
• S38 – Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals
• S39 – Other and unspecified injuries of abdomen, lower back, pelvis and external genitals

FAQs

Q1: What is ICD10 code S36?
A: It identifies injuries to the abdominal, pelvic, lumbar spine, and external genitalia areas.

Q2: How are pelvic fractures usually diagnosed?
A: Through pelvic X-rays and CT scans for better visualization of fractures and dislocations.

Q3: Can abdominal injuries cause delayed complications?
A: Yes, internal bleeding, infections, or bowel injuries can sometimes present later.

Q4: What surgeries are common after abdominal trauma?
A: Laparotomy, vascular repair, and orthopedic surgeries for spinal or pelvic injuries.

Q5: What are signs of intra-abdominal bleeding?
A: Low blood pressure, abdominal distension, tenderness, and signs of shock.

Conclusion

Proper coding with ICD10 S36 ensures comprehensive clinical documentation and helps in the optimal management of Injury of intra-abdominal organs, improving patient outcomes and medico-legal accuracy.