ICD-10 category · Chapter XIX · S30-S39
S36 Injury of intra-abdominal organs
31 codes under S36 in the South African Master Industry Table 2021, 20 valid for clinical use; 20 marked as a Prescribed Minimum Benefit.
| Code | Description | Use | Benefits |
|---|---|---|---|
| S36 | Injury of intra-abdominal organs | Heading only | — |
| S36.0 | Injury of spleen | Heading only | — |
| S36.00 | Injury of spleen, without open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.01 | Injury of spleen, with open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.1 | Injury of liver or gallbladder | Heading only | — |
| S36.10 | Injury of liver or gallbladder, without open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.11 | Injury of liver or gallbladder, with open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.2 | Injury of pancreas | Heading only | — |
| S36.20 | Injury of pancreas, without open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.21 | Injury of pancreas, with open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.3 | Injury of stomach | Heading only | — |
| S36.30 | Injury of stomach, without open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.31 | Injury of stomach, with open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.4 | Injury of small intestine | Heading only | — |
| S36.40 | Injury of small intestine, without open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.41 | Injury of small intestine, with open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.5 | Injury of colon | Heading only | — |
| S36.50 | Injury of colon, without open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.51 | Injury of colon, with open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.6 | Injury of rectum | Heading only | — |
| S36.60 | Injury of rectum, without open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.61 | Injury of rectum, with open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.7 | Injury of multiple intra-abdominal organs | Heading only | — |
| S36.70 | Injury of multiple intra-abdominal organs, without open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.71 | Injury of multiple intra-abdominal organs, with open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.8 | Injury of other intra-abdominal organs | Heading only | — |
| S36.80 | Injury of other intra-abdominal organs, without open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.81 | Injury of other intra-abdominal organs, with open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.9 | Injury of unspecified intra-abdominal organ | Heading only | — |
| S36.90 | Injury of unspecified intra-abdominal organ, without open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
| S36.91 | Injury of unspecified intra-abdominal organ, with open wound into cavity | Valid · may be primary | PMB 445H Injury to internal organs · Medical and surgical managementPMB 900F Rupture of intra-abdominal organ · Repair; splenectomy; resection |
Prescribed Minimum Benefits in S36. A medical scheme must fund the diagnosis, treatment and care of a PMB condition in full, within its rules on designated providers and treatment protocols. The PMB code and treatment component beside each code come from the Council for Medical Schemes’ PMB Coded List; the scheme decides whether a given claim qualifies.
Source and terms
Reproduced from the national table, unaltered.
The Department publishes the table for the industry to load. The ICD-10 Master Industry Table page
Codes and descriptions: ICD-10 Master Industry Table (MIT) 2021, published 16 March 2021 by the National Department of Health, Republic of South Africa. ® National Department of Health: all rights reserved. Reproduced for reference without alteration.
ICD-10 is the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, © World Health Organization. The WHO ICD-10 descriptions appear as published in the MIT.
Prescribed Minimum Benefit (PMB) and Chronic Disease List (CDL) markers: Council for Medical Schemes, PMB Coded List, as read by GreenNotes. Benefit decisions rest with each medical scheme.
Source file: ICD-10_MIT_2021_Excel_16-March_2021.xlsx. Found an error in a code or description? Write to help@greennotes.co.za.
This lookup is a reference to the published code table, not coding advice. Code assignment is the treating practitioner’s responsibility, following the South African ICD-10 Coding Standards and Guidelines and the WHO ICD-10 volumes. GreenNotes does not warrant that the table is complete or current.
This is the South African table. Most ICD-10 results online are the United States’ ICD-10-CM, a different code set that South African medical schemes do not accept. Regulation 5 of the General Regulations under the Medical Schemes Act requires the diagnostic code on every account, and the Master Industry Table is the list it is coded from.
In GreenNotes
Code the consultation once. The invoice and the claim pick it up.
GreenNotes looks codes up from this same table while you write the consultation. The codes you record there, including any the clinical AI included for your review, carry into the invoice and the medical-aid claim.