2026 ICD-10-CM Diagnosis Code S38.02XACrushing injury of scrotum and testis, initial encounter
S38.02XA is a billable ICD-10-CM diagnosis code for crushing injury of scrotum and testis, 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 2026 (October 1, 2025 through September 30, 2026) 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
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Crush injury of perineum
- Crush injury, scrotum and testis
- Crushing injury of external genitalia
- Crushing injury of male external genitalia
- Crushing injury of scrotum
- Crushing injury of testis
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 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Testicular Disorders
Testicles, or testes, make male hormones and sperm. They are two egg-shaped organs inside the scrotum, the loose sac of skin behind the penis. It's easy to injure your testicles because they are not protected by bones or muscles. Men and boys should wear athletic supporters when they play sports.
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Convert S38.02XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S38.02XAOverview
Is S38.02XA (Crushing injury of scrotum and testis) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of scrotum and testis, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S38.02XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for crushing injury of scrotum and testis, such as an emergency visit or first evaluation.
What MS-DRG does S38.02XA group to?
When crushing injury of scrotum and testis, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 729, 730, 963, 964, 965, with relative weights from 0.6720 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S38.02XA?
Under the General Equivalence Mappings, crushing injury of scrotum and testis, initial encounter converts to ICD-9-CM 926.0 (crush inj ext genitalia). 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.
