2027 ICD-10-CM Diagnosis Code S38.211DComplete traumatic amputation of female external genital organs, subsequent encounter

ICD-10-CM Codes›S00–T88›S30-S39›S38

ICD-10-CM S38.211D
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S38.211D is a billable ICD-10-CM diagnosis code for complete traumatic amputation of female external genital organs, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as traumatic amputation of entire vulva. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Amputation of other body parts, subsequent encounter.

Code Identity

ICD-10-CM Code
S38.211D
Billable Status
Yes — Valid for Submission
Code Describes
Complete traumatic amputation of female external genital organs, subsequent encounter
Short Description
Complete traum amp of female external genital organs, subs
Parent Code
S38.211
Complete traumatic amputation of female external genital organs

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS30-S39Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
CategoryS38Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals
This CodeS38.211DComplete traumatic amputation of female external genital organs, subsequent encounter

Present on Admission (POA)Billing

S38.211D 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.

  • Traumatic amputation of entire vulva
  • Traumatic amputation of external genital organs
  • Traumatic amputation of female genital organ

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 S38.211D: its own notes plus those printed at 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.

From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • 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.

From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • burns and corrosions (T20-T32)
  • effects of foreign body in anus and rectum (T18.5)
  • effects of foreign body in genitourinary tract (T19.-)
  • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • 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.

From S38 Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals applies to 39 codes
  • The appropriate 7th character is to be added to each code from category S38
Values for category S38 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter
  • Dsubsequent encounter this code
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name S38.211D, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming S38.211D: they are not reported together with it, unless the two conditions are unrelated.

  • S31 Open wound of abdomen, lower back, pelvis and external genitals
    traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3) names S38.2-, which includes this code
  • S31.5 Open wound of unspecified external genital organs
    traumatic amputation of external genital organs (S38.21, S38.22) names S38.21, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ052
Amputation of other body parts, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Vulvar Disorders

The vulva is the outer part of the female genitals. This includes the clitoris, vaginal lips, and the opening to the vagina. A vulvar disorder is a health problem that affects your vulva. These problems may cause pain, itching, or skin changes of the vulva. Treatment depends on the cause.

The full article covers:

  • What are vulvar disorders?
  • Who is more likely to develop vulvar disorders?
  • What are the symptoms of vulvar disorders?
  • How are vulvar disorders diagnosed?
  • What are the treatments for vulvar disorders?
  • Can vulvar disorders be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S38.211D to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V58.89 Other specfied aftercare
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S38.211DOverview

Is S38.211D a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report complete traumatic amputation of female external genital organs, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character D in S38.211D mean?

The final character D marks a subsequent encounter: use it for routine care while the complete traumatic amputation of female external genital organs is healing, after active treatment has ended.

What MS-DRG does S38.211D group to?

When complete traumatic amputation of female external genital organs, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S38.211D 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 complete traumatic amputation of female external genital organs, subsequent encounter 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.

What is the ICD-9 equivalent of S38.211D?

Under the General Equivalence Mappings, complete traumatic amputation of female external genital organs, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.