2027 ICD-10-CM Diagnosis Code S38.002ACrushing injury of unspecified external genital organs, female, initial encounter
S38.002A is a billable ICD-10-CM diagnosis code for crushing injury of unspecified external genital organs, female, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 742 through 743, 760 through 761, 963 through 965. Coders also document this condition as crushing injury of external genitalia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Crushing injury, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Crushing injury of external genitalia
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals (S38). 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 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to S38.002A: its own notes plus those printed at S38.0, S38, block S30-S39, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- 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: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code for any associated injuries
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category S38
- Ainitial encounter this code
- Dsubsequent encounter
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name S38.002A, its category, or a range that includes it.
Excludes2 1
These codes carry an Excludes2 note naming S38.002A: its condition is not part of those codes, and both may be reported when the patient has both.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Vulvar Disorders
The vulva is the outer part of the female genitals. This includes the clitoris, vaginal lips, and the opening to the vagina. A vulvar disorder is a health problem that affects your vulva. These problems may cause pain, itching, or skin changes of the vulva. Treatment depends on the cause.
The full article covers:
- What are vulvar disorders?
- Who is more likely to develop vulvar disorders?
- What are the symptoms of vulvar disorders?
- How are vulvar disorders diagnosed?
- What are the treatments for vulvar disorders?
- Can vulvar disorders be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S38.002A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S38.002AOverview
Is S38.002A a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of unspecified external genital organs, female, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character A in S38.002A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for crushing injury of unspecified external genital organs, female, such as an emergency visit or first evaluation.
What MS-DRG does S38.002A group to?
When crushing injury of unspecified external genital organs, female, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 964, 965, 743, 760, 963, 761, with relative weights from 0.7039 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.
Does S38.002A need an additional code?
When the condition applies, yes. The Use Additional Code note at S38.0, which applies to S38.002A, reads: code for any associated injuries. The additional code is reported after S38.002A.
What is the ICD-9 equivalent of S38.002A?
Under the General Equivalence Mappings, crushing injury of unspecified external genital organs, female, initial encounter converts to ICD-9-CM 926.0 (crush inj ext genitalia). The mapping is approximate, so confirm the match fits the documentation.
