2027 ICD-10-CM Diagnosis Code S38.1XXACrushing injury of abdomen, lower back, and pelvis, initial encounter
S38.1XXA is a billable ICD-10-CM diagnosis code for crushing injury of abdomen, lower back, and pelvis, 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 913 through 914, 963 through 965. Coders also document this condition as crush injury of pelvic region. 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 pelvic region
- Crushing injuries of thorax with abdomen, lower back and pelvis with limb
- Crushing injury of abdomen
- Crushing injury of back
- Crushing injury of lower back
- Crushing injury of lumbosacral region of back
- Crushing of ovary
- Severe crushing injury of abdominal organs
- Severe crushing injury of abdominal organs without open wound into cavity
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 S38.1XXA: its own notes plus those printed at S38.1, 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.
- crushing injury of external genital organs (S38.0-)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- 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.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Wounds and Injuries
An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S38.1XXA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S38.1XXAOverview
What is the ICD-10 code for crushing injury of abdomen, lower back, and pelvis, initial encounter?
The ICD-10-CM code for crushing injury of abdomen, lower back, and pelvis, initial encounter is S38.1XXA (sometimes written as S381XXA). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is S38.1XXA (Crushing injury of abdomen, lower back, and pelvis) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of abdomen, lower back, and pelvis, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character A in S38.1XXA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for crushing injury of abdomen, lower back, and pelvis, such as an emergency visit or first evaluation.
What MS-DRG does S38.1XXA group to?
When crushing injury of abdomen, lower back, and pelvis, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 964, 965, 914, 913, 963, with relative weights from 0.9281 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.
Does S38.1XXA need an additional code?
When the condition applies, yes. The Use Additional Code note at S38.1, which applies to S38.1XXA, reads: code for all associated injuries, such as: fracture of thoracic or lumbar spine and pelvis (S22.0-, S32.-); injury to intra-abdominal organs (S36.-); injury to urinary and pelvic organs (S37.-); open wound of abdominal wall (S31.-); spinal cord injury (S34.0, S34.1-). The additional code is reported after S38.1XXA.
