2026 ICD-10-CM Diagnosis Code S38.03XSCrushing injury of vulva, sequela
S38.03XS is a billable ICD-10-CM diagnosis code for crushing injury of vulva, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 604 through 605. The code is exempt from POA reporting. Coders also document this condition as crush injury of labia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S38.03XS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).
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 S38.03XS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S38.03XSOverview
What is the ICD-10 code for crushing injury of vulva, sequela?
The ICD-10-CM code for crushing injury of vulva, sequela is S38.03XS (sometimes written as S3803XS). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Is S38.03XS (Crushing injury of vulva) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of vulva, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S38.03XS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the crushing injury of vulva itself has resolved, not the original event.
What MS-DRG does S38.03XS group to?
When crushing injury of vulva, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, with relative weights from 0.9160 to 1.4721 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S38.03XS 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 crushing injury of vulva, sequela on inpatient claims. The code appears in the Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39) range of the CMS exempt list.
