2026 ICD-10-CM Diagnosis Code S38.1XXSCrushing injury of abdomen, lower back, and pelvis, sequela
S38.1XXS is a billable ICD-10-CM diagnosis code for crushing injury of abdomen, lower back, and pelvis, 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 pelvic region. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S38.1XXS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
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 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 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
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 S38.1XXS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S38.1XXSOverview
Is S38.1XXS (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, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S38.1XXS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the crushing injury of abdomen, lower back, and pelvis itself has resolved, not the original event.
What MS-DRG does S38.1XXS group to?
When crushing injury of abdomen, lower back, and pelvis, 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 S38.1XXS 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 abdomen, lower back, and pelvis, sequela on inpatient claims.
What is the ICD-9 equivalent of S38.1XXS?
Under the General Equivalence Mappings, crushing injury of abdomen, lower back, and pelvis, sequela converts to ICD-9-CM 906.4 (late effect of crushing). 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.
