2027 ICD-10-CM Diagnosis Code S38.221DComplete traumatic amputation of penis, subsequent encounter
ICD-10-CM Codes›S00–T88›S30-S39›S38
- Billable — Valid for Submission
- POA Exempt
- 7th Character D — Subsequent Encounter
- Chronic Condition
S38.221D is a billable ICD-10-CM diagnosis code for complete traumatic amputation of penis, 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 penis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Amputation of other body parts, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S38.221D 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 penis
- Traumatic amputation of external genital organs
- Traumatic amputation of penis
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 S38.221D: 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.
- 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.
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
- 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 S38.221D, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming S38.221D: they are not reported together with it, unless the two conditions are unrelated.
- S31 Open wound of abdomen, lower back, pelvis and external genitalstraumatic 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 organstraumatic amputation of external genital organs (S38.21, S38.22) names S38.22, which includes this code
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Penis Disorders
Problems with the penis can cause pain and affect a man's sexual function and fertility. Penis disorders include:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S38.221D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S38.221DOverview
What is the ICD-10 code for complete traumatic amputation of penis, subsequent encounter?
The ICD-10-CM code for complete traumatic amputation of penis, subsequent encounter is S38.221D (sometimes written as S38221D). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is S38.221D (Complete traumatic amputation of penis) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report complete traumatic amputation of penis, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character D in S38.221D mean?
The final character D marks a subsequent encounter: use it for routine care while the complete traumatic amputation of penis is healing, after active treatment has ended.
What MS-DRG does S38.221D group to?
When complete traumatic amputation of penis, 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 S38.221D 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 penis, 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.
