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Dx

ICD-10-CM 2027 diagnosis code

S35.4Injury of renal blood vessels

Not billable — use a more specific codeRequires 7th character

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

  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela

Notes that apply from higher levels

Instructions written at a parent level also apply to S35.4.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 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.