S30.91XS - Unspecified superficial injury of lower back and pelvis, sequela
| ICD-10: | S30.91XS |
| Short Description: | Unsp superficial injury of lower back and pelvis, sequela |
| Long Description: | Unspecified superficial injury of lower back and pelvis, sequela |
| Status: | Valid for Submission |
| Version: | ICD-10-CM 2023 |
| Code Classification: |
S30.91XS is a billable ICD-10 code used to specify a medical diagnosis of unspecified superficial injury of lower back and pelvis, sequela. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S30.91XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like unspecified superficial injury of lower back and pelvis. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
Unspecified diagnosis codes like S30.91XS are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Multiple injuries of lower back
- Multiple injuries of lower back
- Multiple injuries of pelvis
- Multiple superficial injuries of abdomen, lower back and pelvis
- Multiple superficial injuries of abdominal wall
- Multiple superficial injuries of lower back
- Multiple superficial injuries of lower back
- Multiple superficial injuries of surface region of pelvis
- Superficial injury of buttock
- Superficial injury of buttock with infection
- Superficial injury of buttock without infection
- Superficial injury of lower back
- Superficial injury of lower back
- Superficial injury of pelvic region
- Superficial injury of perineum
- Superficial injury of perineum with infection
- Superficial injury of skin of sacral region
Coding Guidelines
The appropriate 7th character is to be added to each code from block Superfic inj abdomen, low back, pelvis and external genitals (S30). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Present on Admission (POA)
S30.91XS is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
| POA Indicator Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert to ICD-9 Code
| Source ICD-10 Code | Target ICD-9 Code | |
|---|---|---|
| S30.91XS | 906.2 - Late eff superficial inj | |
| Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. | ||
Patient Education
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.
Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.
Other common types of injuries include:
- Animal bites
- Bruises
- Burns
- Dislocations
- Electrical injuries
- Fractures (broken bones)
- Sprains and strains
[Learn More in MedlinePlus]
Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)