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    OpenPayerBilling CodesInjuries to the abdomen, lower back, lumbar spine, pelvis and external genitalsICD-10-CM s35-injury-of-abdominal-vessels
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    ICD-10-CM Code For Injury Of Blood Vessels At Abdomen Lower Back And Pelvis Level: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S35 includes traumatic injuries to blood vessels at the level of the abdomen, lower back, lumbar spine and pelvis, such as laceration, rupture, or traumatic occlusion of major abdominal and pelvic vessels. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving vascular trauma, hemorrhage risk, organ perfusion compromise, and associated surgical or interventional procedures. Accurate coding within the ICD-10-CM S35 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM S35: Injury Of Blood Vessels At Abdomen, Lower Back And Pelvis Level Overview

    This group represents traumatic injuries to the blood vessels located in the abdomen, lower back, lumbar spine region, pelvis, and associated vasculature. These diagnoses target vascular compromise from blunt or penetrating trauma with potential for hemorrhage, ischemia, or organ hypoperfusion. Accurate coding is important for documenting injury severity and supporting appropriate reimbursement and care coordination.

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    When to Use

    Assign a code from this group when clinical documentation specifies traumatic injury to abdominal or pelvic blood vessels identified by imaging, surgery, or clinical assessment. Use these codes to reflect the presence of hemorrhage, vessel disruption, or need for vascular repair associated with the trauma.

    ICD-10-CM Codes

    222 rows

    ICD-10-CM CodeDescription
    S35.00XAUnspecified injury of abdominal aorta, initial encounter
    S35.00XDUnspecified injury of abdominal aorta, subsequent encounter
    S35.00XSUnspecified injury of abdominal aorta, sequela
    S35.01XAMinor laceration of abdominal aorta, initial encounter
    S35.01XDMinor laceration of abdominal aorta, subsequent encounter
    S35.01XSMinor laceration of abdominal aorta, sequela
    S35.02XAMajor laceration of abdominal aorta, initial encounter
    S35.02XDMajor laceration of abdominal aorta, subsequent encounter
    S35.02XSMajor laceration of abdominal aorta, sequela
    S35.09XAOther injury of abdominal aorta, initial encounter
    S35.09XDOther injury of abdominal aorta, subsequent encounter
    S35.09XSOther injury of abdominal aorta, sequela
    S35.10XAUnspecified injury of inferior vena cava, initial encounter
    S35.10XDUnspecified injury of inferior vena cava, subsequent encounter
    S35.10XSUnspecified injury of inferior vena cava, sequela
    S35.11XAMinor laceration of inferior vena cava, initial encounter
    S35.11XDMinor laceration of inferior vena cava, subsequent encounter
    S35.11XSMinor laceration of inferior vena cava, sequela
    S35.12XAMajor laceration of inferior vena cava, initial encounter
    S35.12XDMajor laceration of inferior vena cava, subsequent encounter

    Showing 1–20 of 222

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    DRG Codes

    12 rows

    DRG CodeDescription
    299Peripheral Vascular Disorders with MCC
    300Peripheral Vascular Disorders with CC
    301Peripheral Vascular Disorders without CC/MCC
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems
    913Traumatic Injury with MCC
    914Traumatic Injury without MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC
    963Other Multiple Significant Trauma with MCC
    964Other Multiple Significant Trauma with CC
    965Other Multiple Significant Trauma without CC/MCC

    Typical Clinical Scenarios

    • A middle-aged driver is brought to the emergency department after a high-speed motor vehicle collision with hypotension and a distended abdomen on exam; imaging reveals active hemorrhage from a mesenteric vessel in the lower abdomen requiring emergent operative exploration and vascular repair, so an acute traumatic injury to an abdominal blood vessel is coded. Typical codes: S35.211A, S35.212A
    • An elderly patient on chronic anticoagulation falls at home and presents with progressive flank pain and a large retroperitoneal hematoma identified on CT without immediate operative intervention; the bleeding vessel injury is managed nonoperatively with reversal of anticoagulation and observation, therefore an initial encounter for a traumatic blood vessel injury of the pelvis/retroperitoneum is appropriate. Typical codes: S35.221A, S35.222A
    • A patient previously treated surgically for traumatic pelvic vascular injury now returns months later for planned follow-up and evaluation of a pseudoaneurysm at the repair site discovered on surveillance imaging; this encounter is for subsequent care of the vascular injury with delayed complications or sequelae, so a subsequent or sequela code from the group is assigned. Typical codes: S35.211D, S35.211S

    Related Codes

    S30-SUPERFICIAL-INJURY-ABDOMEN-LOWER-BACK

    ICD-10-CM Code For Superficial Injury Of Abdomen, Lower Back, Pelvis And External Genitals: Group Overview

    S31-OPEN-WOUND-ABDOMEN-LOWER-BACK-PELVIS-EXTERNAL-GENITALS

    ICD-10-CM Code For Open Wound Of Abdomen Lower Back Pelvis And External Genitals: Group Overview

    S32-FRACTURE-OF-LUMBAR-SPINE-AND-PELVIS

    ICD-10-CM Code For Fracture Of Lumbar Spine And Pelvis: Group Overview

    S33-DISLOCATION-AND-SPRAIN-LUMBAR-SPINE-PELVIS

    ICD-10-CM Code For Dislocation And Sprain Of Joints And Ligaments Of Lumbar Spine And Pelvis: Group Overview

    S34-INJURY-OF-LUMBAR-AND-SACRAL-SPINAL-CORD

    ICD-10-CM Code For Injury Of Lumbar And Sacral Spinal Cord And Nerves: Group Overview

    S36-INJURY-OF-INTRA-ABDOMINAL-ORGANS

    ICD-10-CM Code For Injury Of Intra-Abdominal Organs: Group Overview

    S37-INJURY-OF-URINARY-AND-PELVIC-ORGANS

    ICD-10-CM Code For Injury Of Urinary And Pelvic Organs: Group Overview

    S38-CRUSHING-INJURY-AND-TRAUMATIC-AMPUTATION

    ICD-10-CM Code For Crushing Injury And Traumatic Amputation Of Abdomen Lower Back Pelvis And External Genitals: Group Overview

    S39-OTHER-UNSPECIFIED-ABDOMINAL-PELVIC-INJURIES

    ICD-10-CM Code For Other And Unspecified Injuries Of Abdomen Lower Back Pelvis And External Genitals: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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