S37.069A Major laceration of unspecified kidney, initial encounter

Billable ICD-10-CM code, FY2026.

Built from S37.069 with 7th character A (initial encounter).

Applies from S37 Injury of urinary and pelvic organs

Excludes1 (never code together)

• obstetric trauma to pelvic organs (O71.-)

Excludes2 (not included here)

• injury of peritoneum (S36.81)
• injury of retroperitoneum (S36.89-)

Code also

• any associated open wound (S31.-)

7th character note

• The appropriate 7th character is to be added to each code from category S37

7th character required

• A — initial encounter
• D — subsequent encounter
• S — sequela

Applies from S37.0 Injury of kidney

Excludes2 (not included here)

• acute kidney injury (nontraumatic) (N17.9)

Applies from S37.06 Major laceration of kidney

Applicable to

• Avulsion of kidney
• Laceration of kidney greater than 3 cm
• Massive laceration of kidney
• Multiple moderate lacerations of kidney
• Stellate laceration of kidney

Medicare Code Edits (MCE v43.1 (April 2026))

• Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.

Code annotations containing back-references to S37.069A

Back-references to S37.0

• Type 2 Excludes: N17.9 Acute kidney failure, unspecified ("traumatic kidney injury (S37.0-)")

Back-references to S37

• Use Additional: S38.1 Crushing injury of abdomen, lower back, and pelvis ("injury to urinary and pelvic organs (S37.-)")

Nearby codes

• S37.062 Major laceration of left kidney
• S37.062A Major laceration of left kidney, initial encounter
• S37.062D Major laceration of left kidney, subsequent encounter
• S37.062S Major laceration of left kidney, sequela
• S37.069 Major laceration of unspecified kidney
• S37.069A Major laceration of unspecified kidney, initial encounter (this code)
• S37.069D Major laceration of unspecified kidney, subsequent encounter
• S37.069S Major laceration of unspecified kidney, sequela
• S37.09 Other injury of kidney
• S37.091 Other injury of right kidney
• S37.091A Other injury of right kidney, initial encounter