2027 ICD-10-CM Diagnosis Code S38.01XACrushing injury of penis, initial encounter

ICD-10-CM Codes›S00–T88›S30-S39›S38

ICD-10-CM S38.01XA
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S38.01XA is a billable ICD-10-CM diagnosis code for crushing injury of penis, 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 729 through 730, 963 through 965. Coders also document this condition as crush injury of perineum. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Crushing injury, initial encounter.

Code Identity

ICD-10-CM Code
S38.01XA
Billable Status
Yes — Valid for Submission
Code Describes
Crushing injury of penis, initial encounter
Short Description
Crushing injury of penis, initial encounter
Same as the full description in the CMS dataset.
Parent Code
S38.01
Crushing injury of penis

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS30-S39Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
CategoryS38Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals
This CodeS38.01XACrushing injury of penis, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Crush injury of perineum
  • Crushing injury of external genitalia
  • Crushing injury of male external genitalia
  • Crushing injury of penis

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 S38.01XA: 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.

From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • 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.

From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • burns and corrosions (T20-T32)
  • effects of foreign body in anus and rectum (T18.5)
  • effects of foreign body in genitourinary tract (T19.-)
  • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From S38.0 Crushing injury of external genital organs applies to 15 codes
  • code for any associated injuries
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • 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.

From S38 Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals applies to 39 codes
  • The appropriate 7th character is to be added to each code from category S38
Values for category S38 Encounter: Initial, Subsequent, Sequela
  • 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 S38.01XA, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming S38.01XA: its condition is not part of those codes, and both may be reported when the patient has both.

  • S38.1 Crushing injury of abdomen, lower back, and pelvis
    crushing injury of external genital organs (S38.0-) names S38.0-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ018
Crushing injury, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Penis Disorders

Problems with the penis can cause pain and affect a man's sexual function and fertility. Penis disorders include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S38.01XA to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
926.0 Crush inj ext genitalia
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S38.01XAOverview

What is the ICD-10 code for crushing injury of penis, initial encounter?

The ICD-10-CM code for crushing injury of penis, initial encounter is S38.01XA (sometimes written as S3801XA). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is S38.01XA (Crushing injury of penis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of penis, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in S38.01XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for crushing injury of penis, such as an emergency visit or first evaluation.

What MS-DRG does S38.01XA group to?

When crushing injury of penis, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 729, 964, 965, 963, 730, with relative weights from 0.6595 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.

Does S38.01XA need an additional code?

When the condition applies, yes. The Use Additional Code note at S38.0, which applies to S38.01XA, reads: code for any associated injuries. The additional code is reported after S38.01XA.