2026 ICD-10-CM Diagnosis Code S38.03XACrushing injury of vulva, initial encounter
S38.03XA is a billable ICD-10-CM diagnosis code for crushing injury of vulva, 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 742 through 743, 760 through 761, 963 through 965. Coders also document this condition as crush injury of labia. 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 labia
- Crush injury of perineum
- Crushing injury of external genitalia
- Crushing injury of vulva
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
Vulvar Disorders
The vulva is the external part of a woman's genitals. Some problems you can have with the vulvar area include:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S38.03XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S38.03XAOverview
Is S38.03XA (Crushing injury of vulva) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of vulva, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S38.03XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for crushing injury of vulva, such as an emergency visit or first evaluation.
What MS-DRG does S38.03XA group to?
When crushing injury of vulva, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 743, 760, 761, 963, 964, 965, with relative weights from 0.5696 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S38.03XA?
Under the General Equivalence Mappings, crushing injury of vulva, 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.
