Version 2024

2024 ICD-10-CM Diagnosis Code S39.94XA

Unspecified injury of external genitals, initial encounter

ICD-10-CM Code:: S39.94XA
ICD-10 Code for:: Unspecified injury of external genitals, initial encounter
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Not chronic
Code Navigator:

Code Information
Approximate Synonyms
Clinical Classification
Clinical Information
Coding Guidelines
Tabular List of Diseases and Injuries
Diagnostic Related Groups Mapping
Convert to ICD-9 Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Injury, poisoning and certain other consequences of external causes
(S00–T88)
- Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
  (S30-S39)
  - Other and unspecified injuries of abdomen, lower back, pelvis and external genitals
    (S39)

S39.94XA is a billable diagnosis code used to specify a medical diagnosis of unspecified injury of external genitals, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

S39.94XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like unspecified injury of external genitals. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Unspecified diagnosis codes like S39.94XA are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Genital injury
Injury of female genital organ due to obstetric procedure
Injury of female perineum
Injury of male external genital organs
Injury of male genital organ
Injury of male perineum
Injury of perineum
Injury of testis
Injury of vulva
Metal foreign body in perineum
Metal foreign body in trunk
Multiple injuries of external genitalia
Open wound of anterior abdominal wall with complication
Open wound of hypogastric region
Open wound of pubic region with complication
Priapism
Priapism due to trauma
Self-inflicted trauma involving penis
Traumatic injury of external genitalia
Traumatic injury to vulva during pregnancy

Clinical Classification

Clinical Category is Other unspecified injury
CCSR Category Code: INJ027
Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

Priapism
a prolonged painful erection that may lasts hours and is not associated with sexual activity. it is seen in patients with sickle cell anemia, advanced malignancy, spinal trauma; and certain drug treatments.
Priapism
persistent and usually painful erection that lasts for at least four hours in the absence of physical or psychological stimulation, which can be caused by hematologic disorders, including sickle cell disease and leukemia, spinal cord injuries, and medications.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Other and unspecified injuries of abdomen, lower back, pelvis and external genitals (S39). Use the following options for the aplicable episode of care:

A - initial encounter
D - subsequent encounter
S - sequela

S39.94XA is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
913	TRAUMATIC INJURY WITH MCC	21	1.4945
914	TRAUMATIC INJURY WITHOUT MCC	21	0.9077

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert S39.94XA to ICD-9-CM

ICD-9-CM Code: 959.14 - Inj external genital NEC
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

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. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.

Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.

Other common types of injuries include:

Animal bites
Bruises
Burns
Dislocations
Electrical injuries
Fractures (broken bones)
Sprains and strains

[Learn More in MedlinePlus]

Other ICD-10-CM Codes Commonly Used for Similar Conditions

Filter related codes list:

S39 Other and unspecified injuries of abdomen, lower back, pelvis and external genitals.
S39.0 Injury of muscle, fascia and tendon of abdomen, lower back and pelvis.
S39.00 Unspecified injury of muscle, fascia and tendon of abdomen, lower back and pelvis.
S39.001 Unspecified injury of muscle, fascia and tendon of abdomen.
S39.001A Unspecified injury of muscle, fascia and tendon of abdomen, initial encounter.
S39.001D Unspecified injury of muscle, fascia and tendon of abdomen, subsequent encounter.
S39.001S Unspecified injury of muscle, fascia and tendon of abdomen, sequela.
S39.002 Unspecified injury of muscle, fascia and tendon of lower back.
S39.002A Unspecified injury of muscle, fascia and tendon of lower back, initial encounter.
S39.002D Unspecified injury of muscle, fascia and tendon of lower back, subsequent encounter.
S39.002S Unspecified injury of muscle, fascia and tendon of lower back, sequela.
S39.003 Unspecified injury of muscle, fascia and tendon of pelvis.
S39.003A Unspecified injury of muscle, fascia and tendon of pelvis, initial encounter.
S39.003D Unspecified injury of muscle, fascia and tendon of pelvis, subsequent encounter.
S39.003S Unspecified injury of muscle, fascia and tendon of pelvis, sequela.
S39.01 Strain of muscle, fascia and tendon of abdomen, lower back and pelvis.
S39.011 Strain of muscle, fascia and tendon of abdomen.
S39.011A Strain of muscle, fascia and tendon of abdomen, initial encounter.
S39.011D Strain of muscle, fascia and tendon of abdomen, subsequent encounter.
S39.011S Strain of muscle, fascia and tendon of abdomen, sequela.
S39.012 Strain of muscle, fascia and tendon of lower back.
S39.012A Strain of muscle, fascia and tendon of lower back, initial encounter.
S39.012D Strain of muscle, fascia and tendon of lower back, subsequent encounter.
S39.012S Strain of muscle, fascia and tendon of lower back, sequela.
S39.013 Strain of muscle, fascia and tendon of pelvis.
S39.013A Strain of muscle, fascia and tendon of pelvis, initial encounter.
S39.013D Strain of muscle, fascia and tendon of pelvis, subsequent encounter.
S39.013S Strain of muscle, fascia and tendon of pelvis, sequela.
S39.02 Laceration of muscle, fascia and tendon of abdomen, lower back and pelvis.
S39.021 Laceration of muscle, fascia and tendon of abdomen.
S39.021A Laceration of muscle, fascia and tendon of abdomen, initial encounter.
S39.021D Laceration of muscle, fascia and tendon of abdomen, subsequent encounter.
S39.021S Laceration of muscle, fascia and tendon of abdomen, sequela.
S39.022 Laceration of muscle, fascia and tendon of lower back.
S39.022A Laceration of muscle, fascia and tendon of lower back, initial encounter.
S39.022D Laceration of muscle, fascia and tendon of lower back, subsequent encounter.
S39.022S Laceration of muscle, fascia and tendon of lower back, sequela.
S39.023 Laceration of muscle, fascia and tendon of pelvis.
S39.023A Laceration of muscle, fascia and tendon of pelvis, initial encounter.
S39.023D Laceration of muscle, fascia and tendon of pelvis, subsequent encounter.
S39.023S Laceration of muscle, fascia and tendon of pelvis, sequela.
S39.09 Other injury of muscle, fascia and tendon of abdomen, lower back and pelvis.
S39.091 Other injury of muscle, fascia and tendon of abdomen.
S39.091A Other injury of muscle, fascia and tendon of abdomen, initial encounter.
S39.091D Other injury of muscle, fascia and tendon of abdomen, subsequent encounter.
S39.091S Other injury of muscle, fascia and tendon of abdomen, sequela.
S39.092 Other injury of muscle, fascia and tendon of lower back.
S39.092A Other injury of muscle, fascia and tendon of lower back, initial encounter.
S39.092D Other injury of muscle, fascia and tendon of lower back, subsequent encounter.
S39.092S Other injury of muscle, fascia and tendon of lower back, sequela.
S39.093 Other injury of muscle, fascia and tendon of pelvis.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.