Laceration of unspecified intra-abdominal organ, init encntr

This code signifies a tear or cut in an internal organ within the abdominal cavity, where the specific organ affected is not documented. It indicates the initial presentation of this injury, often associated with trauma.

Apply this code when documentation clearly states a laceration of an intra-abdominal organ but lacks specificity regarding which organ (e.g., "intra-abdominal organ laceration"). This is appropriate for initial encounters for treatment of such an injury.

• Only use this code when the specific intra-abdominal organ cannot be identified from the medical record.
• Always strive for greater specificity if available in the documentation (e.g., S36.03XA for spleen laceration).
• Ensure the "A" seventh character for initial encounter is appropriate for the patient's current phase of care.