S36.251D Moderate laceration of body of pancreas, subsequent encounter

ICD-10-CM S36.251D: Moderate Laceration of Body of Pancreas, Subsequent Encounter

ICD-10-CM code S36.251D identifies a moderate laceration of the body of the pancreas during a subsequent encounter. It is an active terminology concept classified as an injury or poisoning. The code appears in payer documents concerning imaging and procedural medical necessity, which state that listed codes provide coverage for specific services. 1 2 3

Plain-language overview

This diagnosis code represents an injury or poisoning event, specifically a moderate laceration located in the body of the pancreas, and it is designated for a subsequent encounter. 1

What this code represents

The official display label for S36.251D is moderate laceration of body of pancreas, subsequent encounter, and the terminology record status is currently active. 1

Coding details

Within the ICD-10-CM hierarchy, S36.251D is a narrower concept under the parent code S36.251, which denotes a moderate laceration of the body of the pancreas. 1

The code S36.251D is distinct from S36.251S, which represents the sequela of a moderate laceration of the body of the pancreas, and S36.252A, which denotes a different pancreatic laceration encounter. 2

Documentation considerations

An official abbreviation published for this diagnosis is moderate laceration of body of pancreas, subs encntr, which corresponds directly to the full official terminology label. 1

Coverage and utilization context

A Medicare billing and coding article for abdomen and pelvis computed tomography includes S36.251D in a list of diagnosis codes alongside other pancreatic laceration variations. 2

A payer clinical medical policy lists S36.251D among ICD-10-CM codes that support medical necessity and provide coverage for an associated clinical service. 3

What the sources add

While the terminology authority defines the code's clinical meaning and hierarchical status, payer and billing sources operationalize its use by listing it within medical necessity policies for specific clinical services. 1 2 3

Comparing the two payer documents reveals that S36.251D appears in distinct coverage contexts, including a Medicare imaging article and a separate payer clinical medical policy. 2 3

Sources

1. ICD-10-CM S36.251D terminology record — National Cancer Institute Enterprise Vocabulary Services; accessed 2026-07-27.
2. Article - Billing and Coding: CT of the Abdomen and Pelvis (A56421) — cms.gov; accessed 2026-07-27.
3. clinical medical policy - Provider Resource Center - Highmark — providers.highmark.com; accessed 2026-07-27.