DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

S35 Injury of blood vessels at abdomen, lower back and pelvis level

  • Header · not billable
  • Codes take a 7th character

S35 is not billable. The category heads 222 billable codes in FY2027, grouped under 8 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Index → code

  • Transectionceliac artery (incomplete) → S35.211
  • Injuryblood vessel NECiliac → S35.5-
  • Injuryblood vessel NECabdomen → S35.9-

Where it sits

  1. Chapter 19 Injury, poisoning and certain other consequences of external causes (S00-T88)
  2. S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)
  3. S35 Injury of blood vessels at abdomen, lower back and pelvis level
Billable codes
222
Subdivisions
8
CC / MCC codes
12 / 62
HCC V28 codes
0
New FY2027
0
Index entries
61

Codes in S35

  1. S35.0
    Injury of abdominal aorta
    Header
    Excludes1 1

    Excludes1

    • injury of aorta NOS (S25.0) S25.0
  2. S35.00
    Unspecified injury of abdominal aorta +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  3. S35.01
    Minor laceration of abdominal aorta +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
    Inclusion terms 3

    Inclusion terms

    • Incomplete transection of abdominal aorta
    • Laceration of abdominal aorta NOS
    • Superficial laceration of abdominal aorta
  4. S35.02
    Major laceration of abdominal aorta +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
    Inclusion terms 2

    Inclusion terms

    • Complete transection of abdominal aorta
    • Traumatic rupture of abdominal aorta
  5. S35.09
    Other injury of abdominal aorta +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  6. S35.1
    Injury of inferior vena cava
    Header
    Inclusion terms 1, Excludes1 1

    Inclusion terms

    • Injury of hepatic vein

    Excludes1

    • injury of vena cava NOS (S25.2) S25.2
  7. S35.10
    Unspecified injury of inferior vena cava +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  8. S35.11
    Minor laceration of inferior vena cava +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
    Inclusion terms 3

    Inclusion terms

    • Incomplete transection of inferior vena cava
    • Laceration of inferior vena cava NOS
    • Superficial laceration of inferior vena cava
  9. S35.12
    Major laceration of inferior vena cava +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
    Inclusion terms 2

    Inclusion terms

    • Complete transection of inferior vena cava
    • Traumatic rupture of inferior vena cava
  10. S35.19
    Other injury of inferior vena cava +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  11. S35.2
    Injury of celiac or mesenteric artery and branches
    Header
  12. S35.21
    Injury of celiac artery
    Header
  13. S35.211
    Minor laceration of celiac artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
    Inclusion terms 3

    Inclusion terms

    • Incomplete transection of celiac artery
    • Laceration of celiac artery NOS
    • Superficial laceration of celiac artery
  14. S35.212
    Major laceration of celiac artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
    Inclusion terms 2

    Inclusion terms

    • Complete transection of celiac artery
    • Traumatic rupture of celiac artery
  15. S35.218
    Other injury of celiac artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  16. S35.219
    Unspecified injury of celiac artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  17. S35.22
    Injury of superior mesenteric artery
    Header
  18. S35.221
    Minor laceration of superior mesenteric artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
    Inclusion terms 3

    Inclusion terms

    • Incomplete transection of superior mesenteric artery
    • Laceration of superior mesenteric artery NOS
    • Superficial laceration of superior mesenteric artery
  19. S35.222
    Major laceration of superior mesenteric artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
    Inclusion terms 2

    Inclusion terms

    • Complete transection of superior mesenteric artery
    • Traumatic rupture of superior mesenteric artery
  20. S35.228
    Other injury of superior mesenteric artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  21. S35.229
    Unspecified injury of superior mesenteric artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  22. S35.23
    Injury of inferior mesenteric artery
    Header
  23. S35.231
    Minor laceration of inferior mesenteric artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
    Inclusion terms 3

    Inclusion terms

    • Incomplete transection of inferior mesenteric artery
    • Laceration of inferior mesenteric artery NOS
    • Superficial laceration of inferior mesenteric artery
  24. S35.232
    Major laceration of inferior mesenteric artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
    Inclusion terms 2

    Inclusion terms

    • Complete transection of inferior mesenteric artery
    • Traumatic rupture of inferior mesenteric artery
  25. S35.238
    Other injury of inferior mesenteric artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  26. S35.239
    Unspecified injury of inferior mesenteric artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  27. S35.29
    Injury of branches of celiac and mesenteric artery
    Header
    Inclusion terms 4

    Inclusion terms

    • Injury of gastric artery
    • Injury of gastroduodenal artery
    • Injury of hepatic artery
    • Injury of splenic artery
  28. S35.291
    Minor laceration of branches of celiac and mesenteric artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
    Inclusion terms 3

    Inclusion terms

    • Incomplete transection of branches of celiac and mesenteric artery
    • Laceration of branches of celiac and mesenteric artery NOS
    • Superficial laceration of branches of celiac and mesenteric artery
  29. S35.292
    Major laceration of branches of celiac and mesenteric artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
    Inclusion terms 2

    Inclusion terms

    • Complete transection of branches of celiac and mesenteric artery
    • Traumatic rupture of branches of celiac and mesenteric artery
  30. S35.298
    Other injury of branches of celiac and mesenteric artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  31. S35.299
    Unspecified injury of branches of celiac and mesenteric artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  32. S35.3
    Injury of portal or splenic vein and branches
    Header
  33. S35.31
    Injury of portal vein
    Header
  34. S35.311
    Laceration of portal vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  35. S35.318
    Other specified injury of portal vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  36. S35.319
    Unspecified injury of portal vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  37. S35.32
    Injury of splenic vein
    Header
  38. S35.321
    Laceration of splenic vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  39. S35.328
    Other specified injury of splenic vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  40. S35.329
    Unspecified injury of splenic vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  41. S35.33
    Injury of superior mesenteric vein
    Header
  42. S35.331
    Laceration of superior mesenteric vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  43. S35.338
    Other specified injury of superior mesenteric vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  44. S35.339
    Unspecified injury of superior mesenteric vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  45. S35.34
    Injury of inferior mesenteric vein
    Header
  46. S35.341
    Laceration of inferior mesenteric vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  47. S35.348
    Other specified injury of inferior mesenteric vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  48. S35.349
    Unspecified injury of inferior mesenteric vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  49. S35.4
    Injury of renal blood vessels
    Header
  50. S35.40
    Unspecified injury of renal blood vessel
    Header
  51. S35.401
    Unspecified injury of right renal artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  52. S35.402
    Unspecified injury of left renal artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  53. S35.403
    Unspecified injury of unspecified renal artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  54. S35.404
    Unspecified injury of right renal vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  55. S35.405
    Unspecified injury of left renal vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  56. S35.406
    Unspecified injury of unspecified renal vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  57. S35.41
    Laceration of renal blood vessel
    Header
  58. S35.411
    Laceration of right renal artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  59. S35.412
    Laceration of left renal artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  60. S35.413
    Laceration of unspecified renal artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  61. S35.414
    Laceration of right renal vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  62. S35.415
    Laceration of left renal vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  63. S35.416
    Laceration of unspecified renal vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  64. S35.49
    Other specified injury of renal blood vessel
    Header
  65. S35.491
    Other specified injury of right renal artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  66. S35.492
    Other specified injury of left renal artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  67. S35.493
    Other specified injury of unspecified renal artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  68. S35.494
    Other specified injury of right renal vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  69. S35.495
    Other specified injury of left renal vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  70. S35.496
    Other specified injury of unspecified renal vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  71. S35.5
    Injury of iliac blood vessels
    Header
  72. S35.50
    Injury of unspecified iliac blood vessel(s) +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  73. S35.51
    Injury of iliac artery or vein
    Header
    Inclusion terms 1

    Inclusion terms

    • Injury of hypogastric artery or vein
  74. S35.511
    Injury of right iliac artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  75. S35.512
    Injury of left iliac artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  76. S35.513
    Injury of unspecified iliac artery +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  77. S35.514
    Injury of right iliac vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  78. S35.515
    Injury of left iliac vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  79. S35.516
    Injury of unspecified iliac vein +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  80. S35.53
    Injury of uterine artery or vein
    Header
  81. S35.531
    Injury of right uterine artery +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  82. S35.532
    Injury of left uterine artery +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  83. S35.533
    Injury of unspecified uterine artery +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  84. S35.534
    Injury of right uterine vein +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  85. S35.535
    Injury of left uterine vein +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  86. S35.536
    Injury of unspecified uterine vein +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  87. S35.59
    Injury of other iliac blood vessels +7th: A D S
    Needs 7th characterMCC AExempt: 2 of 3 7th characters
  88. S35.8
    Injury of other blood vessels at abdomen, lower back and pelvis level
    Header
    Inclusion terms 1

    Inclusion terms

    • Injury of ovarian artery or vein
  89. S35.8X
    Injury of other blood vessels at abdomen, lower back and pelvis level
    Header
  90. S35.8X1
    Laceration of other blood vessels at abdomen, lower back and pelvis level +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  91. S35.8X8
    Other specified injury of other blood vessels at abdomen, lower back and pelvis level +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  92. S35.8X9
    Unspecified injury of other blood vessels at abdomen, lower back and pelvis level +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  93. S35.9
    Injury of unspecified blood vessel at abdomen, lower back and pelvis level
    Header
  94. S35.90
    Unspecified injury of unspecified blood vessel at abdomen, lower back and pelvis level +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  95. S35.91
    Laceration of unspecified blood vessel at abdomen, lower back and pelvis level +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  96. S35.99
    Other specified injury of unspecified blood vessel at abdomen, lower back and pelvis level +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At S35

Code also

  • any associated open wound (S31.-) S31

Notes that also apply

Block S30-S39 instructions (Includes 6, Excludes2 6): printed on the block page.

Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.

7th characters

7th characters for S35 defined here

The appropriate 7th character is to be added to each code from category S35

7th characters for S35
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Transectionceliac artery (incomplete) → S35.211
  • Injuryaorta (thoracic)abdominal → S35.00
  • Injuryvena cava (superior)inferior → S35.10
  • Transectionceliac artery (incomplete)complete → S35.212
  • Injuryblood vessel NECceliac artery → S35.219
  • Transectionceliac artery (incomplete)branch (incomplete) → S35.291
  • Injuryblood vessel NECportal vein → S35.319
  • Injuryblood vessel NECiliac → S35.5-
  • Injuryblood vessel NECuterine → S35.5-
  • Injuryblood vessel NECovarian (artery) (vein) → S35.8
  • Injuryblood vessel NECabdomen → S35.9-
  • Injuryaorta (thoracic)abdominallaceration (minor) (superficial) → S35.01
  • Injuryaorta (thoracic)abdominalspecified type NEC → S35.09
  • Injuryvena cava (superior)inferiorlaceration (minor) (superficial) → S35.11
  • Injuryvena cava (superior)inferiorspecified type NEC → S35.19
  • Injuryblood vessel NECceliac arterylaceration (minor) (superficial) → S35.211
  • Injuryblood vessel NECceliac arteryspecified type NEC → S35.218
  • Injurymesentericarterysuperior → S35.229
  • Injurymesentericarteryinferior → S35.239
  • Transectionceliac artery (incomplete)branch (incomplete)complete → S35.292
  • Injuryblood vessel NECceliac arterybranch → S35.299
  • Injurymesentericarterybranch → S35.299
  • Injuryblood vessel NECportal veinlaceration → S35.311
  • Injuryblood vessel NECportal veinspecified type NEC → S35.318
  • Injuryblood vessel NECsplenicvein → S35.329
  • Injurymesentericveinsuperior → S35.339
  • Injurymesentericveininferior → S35.349
  • Injuryblood vessel NECrenalartery → S35.40-
  • Injuryblood vessel NECrenalvein → S35.40-
  • Injuryblood vessel NECiliacspecified vessel NEC → S35.5-
  • Injuryblood vessel NECiliacartery → S35.51-
  • Injuryblood vessel NECiliacvein → S35.51-
  • Injuryblood vessel NECuterineartery → S35.53-
  • Injuryblood vessel NECuterinevein → S35.53-
  • Injuryblood vessel NECabdomenspecified vessel NEC → S35.8X-
  • Injuryblood vessel NECabdomenlaceration → S35.91
  • Injuryaorta (thoracic)abdominallaceration (minor) (superficial)major → S35.02
  • Injuryvena cava (superior)inferiorlaceration (minor) (superficial)major → S35.12
  • Injuryblood vessel NECceliac arterylaceration (minor) (superficial)major → S35.212
  • Injurymesentericarterysuperiorlaceration (minor) (superficial) → S35.221

21 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy