2026 ICD-10-CM Diagnosis Code S38.221DComplete traumatic amputation of penis, subsequent encounter

ICD-10-CM CodesS00–T88S30-S39S38

ICD-10-CM S38.221D
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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 2026 (October 1, 2025 through September 30, 2026) 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

ICD-10-CM Code
S38.221D
Billable Status
Yes — Valid for Submission
Code Describes
Complete traumatic amputation of penis, subsequent encounter
Short Description
Complete traumatic amputation of penis, subsequent encounter
Same as the full description in the CMS dataset.
Parent Code
Complete traumatic amputation of penis

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 CodeS38.221DComplete traumatic amputation of penis, subsequent encounter

Present on Admission (POA)Billing

S38.221D 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.

  • 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 2026, published by CMS and the National Center for Health Statistics.

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

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.

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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S38.221DOverview

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, 2025 through September 30, 2026.

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 949, 950, with relative weights from 0.6277 to 1.1897 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.

What is the ICD-9 equivalent of S38.221D?

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

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.