Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals
In Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes
39 billable codes under S38: none are a CC or MCC; none map to an HCC.
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Instructional notes
Includes: conditions that are coded here
- An amputation not identified as partial or complete should be coded to complete
Also applies, from Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)
These notes sit on S30-S39 and apply to every code under it, including S38.
Includes: conditions that are coded here
- injuries to the abdominal wall
- injuries to the anus
- injuries to the buttock
- injuries to the external genitalia
- injuries to the flank
- injuries to the groin
Excludes2: not included here, code separately if applicable
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).
- Application of 7th Characters in Chapter 19 (page 77)
- Coding of Injuries (page 78)
- Coding of Traumatic Fractures (page 79)
- Coding of Burns and Corrosions (page 80)
- Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
- Adult and child abuse, neglect and other maltreatment (page 85)
- Complications of care (page 85)
All codes under S38
S38 can't be used on a claim. Pick a billable code below; grey headings group them.
- S38.0Crushing injury of external genital organs
- S38.00Crushing injury of unspecified external genital organs
- S38.001Crushing injury of unspecified external genital organs, male
- S38.001ACrushing injury of unspecified external genital organs, male, initial encounter
- S38.001DCrushing injury of unspecified external genital organs, male, subsequent encounter
- S38.001SCrushing injury of unspecified external genital organs, male, sequela
- S38.002Crushing injury of unspecified external genital organs, female
- S38.002ACrushing injury of unspecified external genital organs, female, initial encounter
- S38.002DCrushing injury of unspecified external genital organs, female, subsequent encounter
- S38.002SCrushing injury of unspecified external genital organs, female, sequela
- S38.01Crushing injury of penis
- S38.01XACrushing injury of penis, initial encounter
- S38.01XDCrushing injury of penis, subsequent encounter
- S38.01XSCrushing injury of penis, sequela
- S38.02Crushing injury of scrotum and testis
- S38.02XACrushing injury of scrotum and testis, initial encounter
- S38.02XDCrushing injury of scrotum and testis, subsequent encounter
- S38.02XSCrushing injury of scrotum and testis, sequela
- S38.03Crushing injury of vulva
- S38.03XACrushing injury of vulva, initial encounter
- S38.03XDCrushing injury of vulva, subsequent encounter
- S38.03XSCrushing injury of vulva, sequela
- S38.1Crushing injury of abdomen, lower back, and pelvis
- S38.1XXACrushing injury of abdomen, lower back, and pelvis, initial encounter
- S38.1XXDCrushing injury of abdomen, lower back, and pelvis, subsequent encounter
- S38.1XXSCrushing injury of abdomen, lower back, and pelvis, sequela
- S38.2Traumatic amputation of external genital organs
- S38.21Traumatic amputation of female external genital organs
- S38.211Complete traumatic amputation of female external genital organs
- S38.211AComplete traumatic amputation of female external genital organs, initial encounter
- S38.211DComplete traumatic amputation of female external genital organs, subsequent encounter
- S38.211SComplete traumatic amputation of female external genital organs, sequela
- S38.212Partial traumatic amputation of female external genital organs
- S38.212APartial traumatic amputation of female external genital organs, initial encounter
- S38.212DPartial traumatic amputation of female external genital organs, subsequent encounter
- S38.212SPartial traumatic amputation of female external genital organs, sequela
- S38.22Traumatic amputation of penis
- S38.221Complete traumatic amputation of penis
- S38.221AComplete traumatic amputation of penis, initial encounter
- S38.221DComplete traumatic amputation of penis, subsequent encounter
- S38.221SComplete traumatic amputation of penis, sequela
- S38.222Partial traumatic amputation of penis
- S38.222APartial traumatic amputation of penis, initial encounter
- S38.222DPartial traumatic amputation of penis, subsequent encounter
- S38.222SPartial traumatic amputation of penis, sequela
- S38.23Traumatic amputation of scrotum and testis
- S38.231Complete traumatic amputation of scrotum and testis
- S38.231AComplete traumatic amputation of scrotum and testis, initial encounter
- S38.231DComplete traumatic amputation of scrotum and testis, subsequent encounter
- S38.231SComplete traumatic amputation of scrotum and testis, sequela
- S38.232Partial traumatic amputation of scrotum and testis
- S38.232APartial traumatic amputation of scrotum and testis, initial encounter
- S38.232DPartial traumatic amputation of scrotum and testis, subsequent encounter
- S38.232SPartial traumatic amputation of scrotum and testis, sequela
- S38.3Transection (partial) of abdomen
- S38.3XXATransection (partial) of abdomen, initial encounter
- S38.3XXDTransection (partial) of abdomen, subsequent encounter
- S38.3XXSTransection (partial) of abdomen, sequela
S38 MS-DRGs
As the principal diagnosis, the billable codes under S38 group to these 15 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 604 Trauma to the Skin, Subcutaneous Tissue and Breast with MCC (14 of 39 codes)
- DRG 605 Trauma to the Skin, Subcutaneous Tissue and Breast without MCC (14 of 39 codes)
- DRG 949 Aftercare with CC/MCC (13 of 39 codes)
- DRG 950 Aftercare without CC/MCC (13 of 39 codes)
- DRG 963 Other Multiple Significant Trauma with MCC (13 of 39 codes)
- DRG 964 Other Multiple Significant Trauma with CC (13 of 39 codes)
- DRG 965 Other Multiple Significant Trauma without CC/MCC (13 of 39 codes)
- DRG 729 Other Male Reproductive System Diagnoses with CC/MCC (7 of 39 codes)
- DRG 730 Other Male Reproductive System Diagnoses without CC/MCC (7 of 39 codes)
- DRG 742 Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC (4 of 39 codes)
- DRG 743 Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC (4 of 39 codes)
- DRG 760 Menstrual and Other Female Reproductive System Disorders with CC/MCC (4 of 39 codes)
- DRG 761 Menstrual and Other Female Reproductive System Disorders without CC/MCC (4 of 39 codes)
- DRG 913 Traumatic Injury with MCC (1 of 39 codes)
- DRG 914 Traumatic Injury without MCC (1 of 39 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Wounds and Injuries
An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.
Read more about wounds and injuries on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.