2026 ICD-10-CM Diagnosis Code S37.90XDUnspecified injury of unspecified urinary and pelvic organ, subsequent encounter
S37.90XD is a billable ICD-10-CM diagnosis code for unspecified injury of unspecified urinary and pelvic organ, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as injury of female genital system. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Internal organ injury, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S37.90XD is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Injury of female genital system
- Injury of pelvic organ
- Injury of urinary organ
- Injury of urinary tract
- Internal pelvic injury
- Multiple injuries of intra-abdominal genital
- Multiple injuries of urinary system
- Pelvic organ injury with open wound into abdominal cavity
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Injury of urinary and pelvic organs (S37). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert S37.90XD to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S37.90XDOverview
Is S37.90XD (Unspecified injury of unspecified urinary and pelvic organ) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report unspecified injury of unspecified urinary and pelvic organ, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S37.90XD mean?
The final character D marks a subsequent encounter: use it for routine care while the unspecified injury of unspecified urinary and pelvic organ is healing, after active treatment has ended.
What MS-DRG does S37.90XD group to?
When unspecified injury of unspecified urinary and pelvic organ, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S37.90XD exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for unspecified injury of unspecified urinary and pelvic organ, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S37.90XD?
Under the General Equivalence Mappings, unspecified injury of unspecified urinary and pelvic organ, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
