ICD-10-CM 2027 diagnosis code
S35.4Injury of renal blood vessels
S35.4 is a header code, so it can't be reported by itself. Choose one of the 3 more specific codes beneath it and add the required 7th character.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About S35.4
S35.4 is the ICD-10-CM diagnosis code for injury of renal blood vessels. It belongs to category S35 (injury of blood vessels at abdomen, lower back and pelvis level), block S30-S39 (injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is a header code, so it can't be reported by itself; one of its 3 subcodes must be used instead.
Within S35 (injury of blood vessels at abdomen, lower back and pelvis level), S35.4 is specifically for injury of renal blood vessels. Related codes cover abdominal aorta (S35.0), inferior vena cava (S35.1), celiac or mesenteric artery and branches (S35.2), portal or splenic vein and branches (S35.3), iliac blood vessels (S35.5), other blood vessels at abdomen, lower back and pelvis level (S35.8) and unspecified blood vessel at abdomen, lower back and pelvis level (S35.9).
Codes in this range require a 7th character: A for initial encounter, D for subsequent encounter and S for sequela. Use placeholder "X" characters to fill any empty positions before the 7th character.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
7th character
The appropriate 7th character is to be added to each code from category S35
- S35.40Unspecified injury of renal blood vessel
- S35.41Laceration of renal blood vessel
- S35.49Other specified injury of renal blood vessel
- S35.491Other specified injury of right renal artery
- S35.492Other specified injury of left renal artery
- S35.493Other specified injury of unspecified renal artery
- S35.494Other specified injury of right renal vein
- S35.495Other specified injury of left renal vein
- S35.496Other specified injury of unspecified renal vein
- Ainitial encounter
- Dsubsequent encounter
- Ssequela
Notes that apply from higher levels
Instructions written at a parent level also apply to S35.4.
› From S35 Injury of blood vessels at abdomen, lower back and pelvis level
- any associated open wound (S31.-)
Broader instructions also apply from S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals and Chapter 19: Injury, poisoning and certain other consequences of external causes.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about S35.4
Is S35.4 billable?
- No. S35.4 is a header code. Report one of its more specific subcodes instead.