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

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S37 includes traumatic injuries to urinary and pelvic organs such as the kidney, ureter, bladder, urethra, and pelvic soft tissues, covering lacerations, ruptures, contusions, and organ-specific trauma. These ICD-10-CM diagnosis codes are used to document acute injury encounters, capture the anatomic site and severity of trauma, and record associated complications or concurrent injuries. Accurate coding within the ICD-10-CM S37 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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ICD-10-CM S37: Injury Of Urinary And Pelvic Organs Overview

The ICD-10-CM S37 code group represents traumatic injuries to the urinary system and pelvic organs, including the kidneys, ureter, bladder, urethra, and pelvic soft tissues. These diagnoses target the genitourinary and pelvic anatomic region and capture lacerations, contusions, ruptures, and other trauma-related conditions. Accurate coding matters for correct claim adjudication and ensures clinical records reflect the extent of organ involvement and treatment complexity.

When to Use

Assign a code from this group when a patient presents with an acute traumatic injury to a urinary or pelvic organ documented by imaging, operative findings, or clinical examination. Use the most specific code available to reflect the exact organ, nature of injury, and any associated complications or laterality.

ICD-10-CM Codes

249 rows

ICD-10-CM Code	Description
S37.001A	Unspecified injury of right kidney, initial encounter
S37.001D	Unspecified injury of right kidney, subsequent encounter
S37.001S	Unspecified injury of right kidney, sequela
S37.002A	Unspecified injury of left kidney, initial encounter
S37.002D	Unspecified injury of left kidney, subsequent encounter
S37.002S	Unspecified injury of left kidney, sequela
S37.009A	Unspecified injury of unspecified kidney, initial encounter
S37.009D	Unspecified injury of unspecified kidney, subsequent encounter
S37.009S	Unspecified injury of unspecified kidney, sequela
S37.011A	Minor contusion of right kidney, initial encounter
S37.011D	Minor contusion of right kidney, subsequent encounter
S37.011S	Minor contusion of right kidney, sequela
S37.012A	Minor contusion of left kidney, initial encounter
S37.012D	Minor contusion of left kidney, subsequent encounter
S37.012S	Minor contusion of left kidney, sequela
S37.019A	Minor contusion of unspecified kidney, initial encounter
S37.019D	Minor contusion of unspecified kidney, subsequent encounter
S37.019S	Minor contusion of unspecified kidney, sequela
S37.021A	Major contusion of right kidney, initial encounter
S37.021D	Major contusion of right kidney, subsequent encounter

Showing 1–20 of 249

DRG Codes

20 rows

DRG Code	Description
393	Other Digestive System Diagnoses with MCC
394	Other Digestive System Diagnoses with CC
395	Other Digestive System Diagnoses without CC/MCC
643	Endocrine Disorders with MCC
644	Endocrine Disorders with CC
645	Endocrine Disorders without CC/MCC
698	Other Kidney and Urinary Tract Diagnoses with MCC
699	Other Kidney and Urinary Tract Diagnoses with CC
700	Other Kidney and Urinary Tract Diagnoses without CC/MCC
729	Other Male Reproductive System Diagnoses with CC/MCC
730	Other Male Reproductive System Diagnoses without CC/MCC
742	Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC
743	Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC
760	Menstrual and Other Female Reproductive System Disorders with CC/MCC
761	Menstrual and Other Female Reproductive System Disorders without CC/MCC
949	Aftercare with CC/MCC
950	Aftercare without CC/MCC
963	Other Multiple Significant Trauma with MCC
964	Other Multiple Significant Trauma with CC
965	Other Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

A young adult involved in a high-speed motor vehicle collision arrives to the emergency department with severe lower abdominal pain, gross hematuria, and hemodynamic instability. Imaging (CT abdomen/pelvis) demonstrates acute laceration of the right kidney and active contrast extravasation; urgent surgical or interventional management is required. An injury code from this group is assigned to document the acute traumatic renal injury and encounter for initial care. Typical codes: S37.001A, S37.009A
An elderly patient with a history of pelvic fracture from a fall 2 months ago presents to clinic for follow-up with persistent urinary incontinence and imaging showing chronic scarring of the bladder wall and reduced bladder capacity. This visit is for ongoing management and evaluation of the sequelae of the prior pelvic organ injury rather than the initial trauma, so a subsequent or sequela code from the group is used to describe the chronic pelvic organ injury. Typical codes: S37.001D, S37.009D
A patient hospitalized for a postoperative complication after pelvic surgery develops new onset flank pain and fever; workup reveals a postoperative injury to the ureter with obstruction and hydronephrosis identified on CT. The diagnosis code from this group is assigned to indicate the iatrogenic injury to urinary structures complicating the current admission and to guide further urologic management. Typical codes: S37.032A, S37.039A

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

S35-INJURY-OF-ABDOMINAL-VESSELS

ICD-10-CM Code For Injury Of Blood Vessels At Abdomen Lower Back And Pelvis Level: Group Overview

S36-INJURY-OF-INTRA-ABDOMINAL-ORGANS

ICD-10-CM Code For Injury Of Intra-Abdominal 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.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.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.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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When to Use

ICD-10-CM Codes

249 rows

ICD-10-CM Code	Description
S37.001A	Unspecified injury of right kidney, initial encounter
S37.001D	Unspecified injury of right kidney, subsequent encounter
S37.001S	Unspecified injury of right kidney, sequela
S37.002A	Unspecified injury of left kidney, initial encounter
S37.002D	Unspecified injury of left kidney, subsequent encounter
S37.002S	Unspecified injury of left kidney, sequela
S37.009A	Unspecified injury of unspecified kidney, initial encounter
S37.009D	Unspecified injury of unspecified kidney, subsequent encounter
S37.009S	Unspecified injury of unspecified kidney, sequela
S37.011A	Minor contusion of right kidney, initial encounter
S37.011D	Minor contusion of right kidney, subsequent encounter
S37.011S	Minor contusion of right kidney, sequela
S37.012A	Minor contusion of left kidney, initial encounter
S37.012D	Minor contusion of left kidney, subsequent encounter
S37.012S	Minor contusion of left kidney, sequela
S37.019A	Minor contusion of unspecified kidney, initial encounter
S37.019D	Minor contusion of unspecified kidney, subsequent encounter
S37.019S	Minor contusion of unspecified kidney, sequela
S37.021A	Major contusion of right kidney, initial encounter
S37.021D	Major contusion of right kidney, subsequent encounter

Showing 1–20 of 249

DRG Codes

20 rows

DRG Code	Description
393	Other Digestive System Diagnoses with MCC
394	Other Digestive System Diagnoses with CC
395	Other Digestive System Diagnoses without CC/MCC
643	Endocrine Disorders with MCC
644	Endocrine Disorders with CC
645	Endocrine Disorders without CC/MCC
698	Other Kidney and Urinary Tract Diagnoses with MCC
699	Other Kidney and Urinary Tract Diagnoses with CC
700	Other Kidney and Urinary Tract Diagnoses without CC/MCC
729	Other Male Reproductive System Diagnoses with CC/MCC
730	Other Male Reproductive System Diagnoses without CC/MCC
742	Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC
743	Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC
760	Menstrual and Other Female Reproductive System Disorders with CC/MCC
761	Menstrual and Other Female Reproductive System Disorders without CC/MCC
949	Aftercare with CC/MCC
950	Aftercare without CC/MCC
963	Other Multiple Significant Trauma with MCC
964	Other Multiple Significant Trauma with CC
965	Other Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

A young adult involved in a high-speed motor vehicle collision arrives to the emergency department with severe lower abdominal pain, gross hematuria, and hemodynamic instability. Imaging (CT abdomen/pelvis) demonstrates acute laceration of the right kidney and active contrast extravasation; urgent surgical or interventional management is required. An injury code from this group is assigned to document the acute traumatic renal injury and encounter for initial care. Typical codes: S37.001A, S37.009A
An elderly patient with a history of pelvic fracture from a fall 2 months ago presents to clinic for follow-up with persistent urinary incontinence and imaging showing chronic scarring of the bladder wall and reduced bladder capacity. This visit is for ongoing management and evaluation of the sequelae of the prior pelvic organ injury rather than the initial trauma, so a subsequent or sequela code from the group is used to describe the chronic pelvic organ injury. Typical codes: S37.001D, S37.009D
A patient hospitalized for a postoperative complication after pelvic surgery develops new onset flank pain and fever; workup reveals a postoperative injury to the ureter with obstruction and hydronephrosis identified on CT. The diagnosis code from this group is assigned to indicate the iatrogenic injury to urinary structures complicating the current admission and to guide further urologic management. Typical codes: S37.032A, S37.039A

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

S35-INJURY-OF-ABDOMINAL-VESSELS

ICD-10-CM Code For Injury Of Blood Vessels At Abdomen Lower Back And Pelvis Level: Group Overview

S36-INJURY-OF-INTRA-ABDOMINAL-ORGANS

ICD-10-CM Code For Injury Of Intra-Abdominal 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.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.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.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.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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

Sign up for ICD-10-CM Code For Injury Of Urinary And Pelvic Organs: Group Overview policy alerts

ICD-10-CM S37: Injury Of Urinary And Pelvic Organs Overview

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

Sign up for ICD-10-CM Code For Injury Of Urinary And Pelvic Organs: Group Overview policy alerts

ICD-10-CM S37: Injury Of Urinary And Pelvic Organs Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

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

Sign up for ICD-10-CM Code For Injury Of Urinary And Pelvic Organs: Group Overview policy alerts

ICD-10-CM S37: Injury Of Urinary And Pelvic Organs Overview

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

Sign up for ICD-10-CM Code For Injury Of Urinary And Pelvic Organs: Group Overview policy alerts

ICD-10-CM S37: Injury Of Urinary And Pelvic Organs Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which organ injuries are included in ICD-10-CM code group `S37`?

How do encounter characters in `S37` codes affect documentation?

How are laterality and severity represented in `S37` kidney codes?

Which code format is used for ureter, bladder, and urethra injuries in `S37`?

Why is accurate coding within the `S37` group important for billing and clinical records?

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which organ injuries are included in ICD-10-CM code group `S37`?

How do encounter characters in `S37` codes affect documentation?

How are laterality and severity represented in `S37` kidney codes?

Which code format is used for ureter, bladder, and urethra injuries in `S37`?

Why is accurate coding within the `S37` group important for billing and clinical records?

References