October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

S30 Superficial injury of abdomen, lower back, pelvis and external genitals

All 216 codes in the S30 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

216

Can lead a claim

24

Cannot lead a claim

192

What CMS assigns to S30

24 of the 216 codes group to MMTA - Other; 192 are assigned no clinical group. None of the 216 is assigned a comorbidity subgroup. 24 of the 216 can lead a claim.

Every code in S30

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
S30.0 Contusion of lower back and pelvis
S30.0XXAContusion of lower back and pelvis, initial encounterCan lead a claimANone
S30.0XXDContusion of lower back and pelvis, subsequent encounterCan lead a claimANone
S30.0XXSContusion of lower back and pelvis, sequelaCan lead a claimANone
S30.1 Contusion of abdominal wall
S30.11 Contusion of abdominal wall
S30.11XAContusion of abdominal wall, initial encounterCan lead a claimANone
S30.11XDContusion of abdominal wall, subsequent encounterCan lead a claimANone
S30.11XSContusion of abdominal wall, sequelaCan lead a claimANone
S30.12 Contusion of groin
S30.12XAContusion of groin, initial encounterCan lead a claimANone
S30.12XDContusion of groin, subsequent encounterCan lead a claimANone
S30.12XSContusion of groin, sequelaCan lead a claimANone
S30.13 Contusion of flank (latus) region
S30.13XAContusion of flank (latus) region, initial encounterCan lead a claimANone
S30.13XDContusion of flank (latus) region, subsequent encounterCan lead a claimANone
S30.13XSContusion of flank (latus) region, sequelaCan lead a claimANone
S30.2 Contusion of external genital organs
S30.20 Contusion of unspecified external genital organ
S30.201 Contusion of unspecified external genital organ, male
S30.201AContusion of unspecified external genital organ, male, initial encounterCMS: Contusion of unsp external genital organ, male, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.201DContusion of unspecified external genital organ, male, subsequent encounterCMS: Contusion of unsp external genital organ, male, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.201SContusion of unspecified external genital organ, male, sequelaCMS: Contusion of unsp external genital organ, male, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.202 Contusion of unspecified external genital organ, female
S30.202AContusion of unspecified external genital organ, female, initial encounterCMS: Contusion of unsp external genital organ, female, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.202DContusion of unspecified external genital organ, female, subsequent encounterCMS: Contusion of unsp external genital organ, female, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.202SContusion of unspecified external genital organ, female, sequelaCMS: Contusion of unsp external genital organ, female, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.21 Contusion of penis
S30.21XAContusion of penis, initial encounterCan lead a claimANone
S30.21XDContusion of penis, subsequent encounterCan lead a claimANone
S30.21XSContusion of penis, sequelaCan lead a claimANone
S30.22 Contusion of scrotum and testes
S30.22XAContusion of scrotum and testes, initial encounterCan lead a claimANone
S30.22XDContusion of scrotum and testes, subsequent encounterCan lead a claimANone
S30.22XSContusion of scrotum and testes, sequelaCan lead a claimANone
S30.23 Contusion of vagina and vulva
S30.23XAContusion of vagina and vulva, initial encounterCan lead a claimANone
S30.23XDContusion of vagina and vulva, subsequent encounterCan lead a claimANone
S30.23XSContusion of vagina and vulva, sequelaCan lead a claimANone
S30.3 Contusion of anus
S30.3XXAContusion of anus, initial encounterCan lead a claimANone
S30.3XXDContusion of anus, subsequent encounterCan lead a claimANone
S30.3XXSContusion of anus, sequelaCan lead a claimANone
S30.8 Other superficial injuries of abdomen, lower back, pelvis and external genitals
S30.81 Abrasion of abdomen, lower back, pelvis and external genitals
S30.810 Abrasion of lower back and pelvis
S30.810AAbrasion of lower back and pelvis, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.810DAbrasion of lower back and pelvis, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.810SAbrasion of lower back and pelvis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.811 Abrasion of abdominal wall
S30.811AAbrasion of abdominal wall, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.811DAbrasion of abdominal wall, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.811SAbrasion of abdominal wall, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.812 Abrasion of penis
S30.812AAbrasion of penis, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.812DAbrasion of penis, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.812SAbrasion of penis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.813 Abrasion of scrotum and testes
S30.813AAbrasion of scrotum and testes, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.813DAbrasion of scrotum and testes, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.813SAbrasion of scrotum and testes, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.814 Abrasion of vagina and vulva
S30.814AAbrasion of vagina and vulva, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.814DAbrasion of vagina and vulva, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.814SAbrasion of vagina and vulva, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.815 Abrasion of unspecified external genital organs, male
S30.815AAbrasion of unspecified external genital organs, male, initial encounterCMS: Abrasion of unsp external genital organs, male, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.815DAbrasion of unspecified external genital organs, male, subsequent encounterCMS: Abrasion of unsp external genital organs, male, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.815SAbrasion of unspecified external genital organs, male, sequelaCMS: Abrasion of unsp external genital organs, male, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.816 Abrasion of unspecified external genital organs, female
S30.816AAbrasion of unspecified external genital organs, female, initial encounterCMS: Abrasion of unsp external genital organs, female, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.816DAbrasion of unspecified external genital organs, female, subsequent encounterCMS: Abrasion of unsp external genital organs, female, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.816SAbrasion of unspecified external genital organs, female, sequelaCMS: Abrasion of unsp external genital organs, female, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.817 Abrasion of anus
S30.817AAbrasion of anus, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.817DAbrasion of anus, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.817SAbrasion of anus, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.81A Abrasion of flank
S30.81AAAbrasion of flank, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.81ADAbrasion of flank, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.81ASAbrasion of flank, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.82 Blister (nonthermal) of abdomen, lower back, pelvis and external genitals
S30.820 Blister (nonthermal) of lower back and pelvis
S30.820ABlister (nonthermal) of lower back and pelvis, initial encounterCMS: Blister (nonthermal) of lower back and pelvis, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.820DBlister (nonthermal) of lower back and pelvis, subsequent encounterCMS: Blister (nonthermal) of lower back and pelvis, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.820SBlister (nonthermal) of lower back and pelvis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.821 Blister (nonthermal) of abdominal wall
S30.821ABlister (nonthermal) of abdominal wall, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.821DBlister (nonthermal) of abdominal wall, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.821SBlister (nonthermal) of abdominal wall, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.822 Blister (nonthermal) of penis
S30.822ABlister (nonthermal) of penis, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.822DBlister (nonthermal) of penis, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.822SBlister (nonthermal) of penis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.823 Blister (nonthermal) of scrotum and testes
S30.823ABlister (nonthermal) of scrotum and testes, initial encounterCMS: Blister (nonthermal) of scrotum and testes, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.823DBlister (nonthermal) of scrotum and testes, subsequent encounterCMS: Blister (nonthermal) of scrotum and testes, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.823SBlister (nonthermal) of scrotum and testes, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.824 Blister (nonthermal) of vagina and vulva
S30.824ABlister (nonthermal) of vagina and vulva, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.824DBlister (nonthermal) of vagina and vulva, subsequent encounterCMS: Blister (nonthermal) of vagina and vulva, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.824SBlister (nonthermal) of vagina and vulva, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.825 Blister (nonthermal) of unspecified external genital organs, male
S30.825ABlister (nonthermal) of unspecified external genital organs, male, initial encounterCMS: Blister of unsp external genital organs, male, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.825DBlister (nonthermal) of unspecified external genital organs, male, subsequent encounterCMS: Blister of unsp external genital organs, male, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.825SBlister (nonthermal) of unspecified external genital organs, male, sequelaCMS: Blister of unsp external genital organs, male, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.826 Blister (nonthermal) of unspecified external genital organs, female
S30.826ABlister (nonthermal) of unspecified external genital organs, female, initial encounterCMS: Blister of unsp external genital organs, female, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.826DBlister (nonthermal) of unspecified external genital organs, female, subsequent encounterCMS: Blister of unsp external genital organs, female, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.826SBlister (nonthermal) of unspecified external genital organs, female, sequelaCMS: Blister of unsp external genital organs, female, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.827 Blister (nonthermal) of anus
S30.827ABlister (nonthermal) of anus, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.827DBlister (nonthermal) of anus, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.827SBlister (nonthermal) of anus, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.82A Blister (nonthermal) of flank
S30.82AABlister (nonthermal) of flank, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.82ADBlister (nonthermal) of flank, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.82ASBlister (nonthermal) of flank, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.84 External constriction of abdomen, lower back, pelvis and external genitals
S30.840 External constriction of lower back and pelvis
S30.840AExternal constriction of lower back and pelvis, initial encounterCMS: External constriction of lower back and pelvis, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.840DExternal constriction of lower back and pelvis, subsequent encounterCMS: External constriction of lower back and pelvis, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.840SExternal constriction of lower back and pelvis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.841 External constriction of abdominal wall
S30.841AExternal constriction of abdominal wall, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.841DExternal constriction of abdominal wall, subsequent encounterCMS: External constriction of abdominal wall, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.841SExternal constriction of abdominal wall, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.842 External constriction of penis
S30.842AExternal constriction of penis, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.842DExternal constriction of penis, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.842SExternal constriction of penis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.843 External constriction of scrotum and testes
S30.843AExternal constriction of scrotum and testes, initial encounterCMS: External constriction of scrotum and testes, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.843DExternal constriction of scrotum and testes, subsequent encounterCMS: External constriction of scrotum and testes, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.843SExternal constriction of scrotum and testes, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.844 External constriction of vagina and vulva
S30.844AExternal constriction of vagina and vulva, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.844DExternal constriction of vagina and vulva, subsequent encounterCMS: External constriction of vagina and vulva, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.844SExternal constriction of vagina and vulva, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.845 External constriction of unspecified external genital organs, male
S30.845AExternal constriction of unspecified external genital organs, male, initial encounterCMS: Extrn constrict of unsp external genital organs, male, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.845DExternal constriction of unspecified external genital organs, male, subsequent encounterCMS: Extrn constrict of unsp external genital organs, male, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.845SExternal constriction of unspecified external genital organs, male, sequelaCMS: Extrn constrict of unsp extrn genital organs, male, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.846 External constriction of unspecified external genital organs, female
S30.846AExternal constriction of unspecified external genital organs, female, initial encounterCMS: Extrn constrict of unsp extrn genital organs, female, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.846DExternal constriction of unspecified external genital organs, female, subsequent encounterCMS: Extrn constrict of unsp extrn genital organs, female, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.846SExternal constriction of unspecified external genital organs, female, sequelaCMS: Extrn constrict of unsp extrn gntl organs, female, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.84A External constriction of flank
S30.84AAExternal constriction of flank, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.84ADExternal constriction of flank, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.84ASExternal constriction of flank, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.85 Superficial foreign body of abdomen, lower back, pelvis and external genitals
S30.850 Superficial foreign body of lower back and pelvis
S30.850ASuperficial foreign body of lower back and pelvis, initial encounterCMS: Superficial foreign body of lower back and pelvis, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.850DSuperficial foreign body of lower back and pelvis, subsequent encounterCMS: Superficial foreign body of lower back and pelvis, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.850SSuperficial foreign body of lower back and pelvis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.851 Superficial foreign body of abdominal wall
S30.851ASuperficial foreign body of abdominal wall, initial encounterCMS: Superficial foreign body of abdominal wall, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.851DSuperficial foreign body of abdominal wall, subsequent encounterCMS: Superficial foreign body of abdominal wall, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.851SSuperficial foreign body of abdominal wall, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.852 Superficial foreign body of penis
S30.852ASuperficial foreign body of penis, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.852DSuperficial foreign body of penis, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.852SSuperficial foreign body of penis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.853 Superficial foreign body of scrotum and testes
S30.853ASuperficial foreign body of scrotum and testes, initial encounterCMS: Superficial foreign body of scrotum and testes, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.853DSuperficial foreign body of scrotum and testes, subsequent encounterCMS: Superficial foreign body of scrotum and testes, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.853SSuperficial foreign body of scrotum and testes, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.854 Superficial foreign body of vagina and vulva
S30.854ASuperficial foreign body of vagina and vulva, initial encounterCMS: Superficial foreign body of vagina and vulva, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.854DSuperficial foreign body of vagina and vulva, subsequent encounterCMS: Superficial foreign body of vagina and vulva, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.854SSuperficial foreign body of vagina and vulva, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.855 Superficial foreign body of unspecified external genital organs, male
S30.855ASuperficial foreign body of unspecified external genital organs, male, initial encounterCMS: Superficial fb of unsp external genital organs, male, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.855DSuperficial foreign body of unspecified external genital organs, male, subsequent encounterCMS: Superficial fb of unsp external genital organs, male, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.855SSuperficial foreign body of unspecified external genital organs, male, sequelaCMS: Superfic fb of unsp external genital organs, male, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.856 Superficial foreign body of unspecified external genital organs, female
S30.856ASuperficial foreign body of unspecified external genital organs, female, initial encounterCMS: Superficial fb of unsp external genital organs, female, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.856DSuperficial foreign body of unspecified external genital organs, female, subsequent encounterCMS: Superficial fb of unsp external genital organs, female, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.856SSuperficial foreign body of unspecified external genital organs, female, sequelaCMS: Superfic fb of unsp external genital organs, female, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.857 Superficial foreign body of anus
S30.857ASuperficial foreign body of anus, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.857DSuperficial foreign body of anus, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.857SSuperficial foreign body of anus, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.85A Superficial foreign body of flank
S30.85AASuperficial foreign body of flank, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.85ADSuperficial foreign body of flank, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.85ASSuperficial foreign body of flank, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.86 Insect bite (nonvenomous) of abdomen, lower back, pelvis and external genitals
S30.860 Insect bite (nonvenomous) of lower back and pelvis
S30.860AInsect bite (nonvenomous) of lower back and pelvis, initial encounterCMS: Insect bite (nonvenomous) of lower back and pelvis, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.860DInsect bite (nonvenomous) of lower back and pelvis, subsequent encounterCMS: Insect bite (nonvenomous) of lower back and pelvis, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.860SInsect bite (nonvenomous) of lower back and pelvis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.861 Insect bite (nonvenomous) of abdominal wall
S30.861AInsect bite (nonvenomous) of abdominal wall, initial encounterCMS: Insect bite (nonvenomous) of abdominal wall, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.861DInsect bite (nonvenomous) of abdominal wall, subsequent encounterCMS: Insect bite (nonvenomous) of abdominal wall, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.861SInsect bite (nonvenomous) of abdominal wall, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.862 Insect bite (nonvenomous) of penis
S30.862AInsect bite (nonvenomous) of penis, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.862DInsect bite (nonvenomous) of penis, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.862SInsect bite (nonvenomous) of penis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.863 Insect bite (nonvenomous) of scrotum and testes
S30.863AInsect bite (nonvenomous) of scrotum and testes, initial encounterCMS: Insect bite (nonvenomous) of scrotum and testes, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.863DInsect bite (nonvenomous) of scrotum and testes, subsequent encounterCMS: Insect bite (nonvenomous) of scrotum and testes, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.863SInsect bite (nonvenomous) of scrotum and testes, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.864 Insect bite (nonvenomous) of vagina and vulva
S30.864AInsect bite (nonvenomous) of vagina and vulva, initial encounterCMS: Insect bite (nonvenomous) of vagina and vulva, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.864DInsect bite (nonvenomous) of vagina and vulva, subsequent encounterCMS: Insect bite (nonvenomous) of vagina and vulva, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.864SInsect bite (nonvenomous) of vagina and vulva, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.865 Insect bite (nonvenomous) of unspecified external genital organs, male
S30.865AInsect bite (nonvenomous) of unspecified external genital organs, male, initial encounterCMS: Insect bite of unsp external genital organs, male, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.865DInsect bite (nonvenomous) of unspecified external genital organs, male, subsequent encounterCMS: Insect bite of unsp external genital organs, male, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.865SInsect bite (nonvenomous) of unspecified external genital organs, male, sequelaCMS: Insect bite of unsp external genital organs, male, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.866 Insect bite (nonvenomous) of unspecified external genital organs, female
S30.866AInsect bite (nonvenomous) of unspecified external genital organs, female, initial encounterCMS: Insect bite of unsp external genital organs, female, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.866DInsect bite (nonvenomous) of unspecified external genital organs, female, subsequent encounterCMS: Insect bite of unsp external genital organs, female, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.866SInsect bite (nonvenomous) of unspecified external genital organs, female, sequelaCMS: Insect bite of unsp external genital organs, female, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.867 Insect bite (nonvenomous) of anus
S30.867AInsect bite (nonvenomous) of anus, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.867DInsect bite (nonvenomous) of anus, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.867SInsect bite (nonvenomous) of anus, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.86A Insect bite (nonvenomous) of flank
S30.86AAInsect bite (nonvenomous) of flank, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.86ADInsect bite (nonvenomous) of flank, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.86ASInsect bite (nonvenomous) of flank, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.87 Other superficial bite of abdomen, lower back, pelvis and external genitals
S30.870 Other superficial bite of lower back and pelvis
S30.870AOther superficial bite of lower back and pelvis, initial encounterCMS: Other superficial bite of lower back and pelvis, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.870DOther superficial bite of lower back and pelvis, subsequent encounterCMS: Other superficial bite of lower back and pelvis, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.870SOther superficial bite of lower back and pelvis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.871 Other superficial bite of abdominal wall
S30.871AOther superficial bite of abdominal wall, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.871DOther superficial bite of abdominal wall, subsequent encounterCMS: Other superficial bite of abdominal wall, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.871SOther superficial bite of abdominal wall, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.872 Other superficial bite of penis
S30.872AOther superficial bite of penis, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.872DOther superficial bite of penis, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.872SOther superficial bite of penis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.873 Other superficial bite of scrotum and testes
S30.873AOther superficial bite of scrotum and testes, initial encounterCMS: Other superficial bite of scrotum and testes, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.873DOther superficial bite of scrotum and testes, subsequent encounterCMS: Other superficial bite of scrotum and testes, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.873SOther superficial bite of scrotum and testes, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.874 Other superficial bite of vagina and vulva
S30.874AOther superficial bite of vagina and vulva, initial encounterCMS: Other superficial bite of vagina and vulva, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.874DOther superficial bite of vagina and vulva, subsequent encounterCMS: Other superficial bite of vagina and vulva, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.874SOther superficial bite of vagina and vulva, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.875 Other superficial bite of unspecified external genital organs, male
S30.875AOther superficial bite of unspecified external genital organs, male, initial encounterCMS: Oth superfic bite of unsp extrn genital organs, male, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.875DOther superficial bite of unspecified external genital organs, male, subsequent encounterCMS: Oth superfic bite of unsp extrn genital organs, male, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.875SOther superficial bite of unspecified external genital organs, male, sequelaCMS: Oth superfic bite of unsp extrn gntl organs, male, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.876 Other superficial bite of unspecified external genital organs, female
S30.876AOther superficial bite of unspecified external genital organs, female, initial encounterCMS: Oth superfic bite of unsp extrn genital organs, female, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.876DOther superficial bite of unspecified external genital organs, female, subsequent encounterCMS: Oth superfic bite of unsp extrn genital organs, female, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.876SOther superficial bite of unspecified external genital organs, female, sequelaCMS: Oth superfic bite of unsp extrn gntl organs, female, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.877 Other superficial bite of anus
S30.877AOther superficial bite of anus, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.877DOther superficial bite of anus, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.877SOther superficial bite of anus, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.87A Other superficial bite of flank
S30.87AAOther superficial bite of flank, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.87ADOther superficial bite of flank, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.87ASOther superficial bite of flank, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.9 Unspecified superficial injury of abdomen, lower back, pelvis and external genitals
S30.91 Unspecified superficial injury of lower back and pelvis
S30.91XAUnspecified superficial injury of lower back and pelvis, initial encounterCMS: Unsp superficial injury of lower back and pelvis, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.91XDUnspecified superficial injury of lower back and pelvis, subsequent encounterCMS: Unsp superficial injury of lower back and pelvis, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.91XSUnspecified superficial injury of lower back and pelvis, sequelaCMS: Unsp superficial injury of lower back and pelvis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.92 Unspecified superficial injury of abdominal wall
S30.92XAUnspecified superficial injury of abdominal wall, initial encounterCMS: Unsp superficial injury of abdominal wall, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.92XDUnspecified superficial injury of abdominal wall, subsequent encounterCMS: Unsp superficial injury of abdominal wall, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.92XSUnspecified superficial injury of abdominal wall, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.93 Unspecified superficial injury of penis
S30.93XAUnspecified superficial injury of penis, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.93XDUnspecified superficial injury of penis, subsequent encounterCMS: Unspecified superficial injury of penis, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.93XSUnspecified superficial injury of penis, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.94 Unspecified superficial injury of scrotum and testes
S30.94XAUnspecified superficial injury of scrotum and testes, initial encounterCMS: Unsp superficial injury of scrotum and testes, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.94XDUnspecified superficial injury of scrotum and testes, subsequent encounterCMS: Unsp superficial injury of scrotum and testes, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.94XSUnspecified superficial injury of scrotum and testes, sequelaCMS: Unsp superficial injury of scrotum and testes, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.95 Unspecified superficial injury of vagina and vulva
S30.95XAUnspecified superficial injury of vagina and vulva, initial encounterCMS: Unsp superficial injury of vagina and vulva, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.95XDUnspecified superficial injury of vagina and vulva, subsequent encounterCMS: Unsp superficial injury of vagina and vulva, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.95XSUnspecified superficial injury of vagina and vulva, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.96 Unspecified superficial injury of unspecified external genital organs, male
S30.96XAUnspecified superficial injury of unspecified external genital organs, male, initial encounterCMS: Unsp superfic inj unsp external genital organs, male, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.96XDUnspecified superficial injury of unspecified external genital organs, male, subsequent encounterCMS: Unsp superfic inj unsp external genital organs, male, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.96XSUnspecified superficial injury of unspecified external genital organs, male, sequelaCMS: Unsp superfic inj unsp extrn genital organs, male, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.97 Unspecified superficial injury of unspecified external genital organs, female
S30.97XAUnspecified superficial injury of unspecified external genital organs, female, initial encounterCMS: Unsp superfic inj unsp external genital organs, female, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.97XDUnspecified superficial injury of unspecified external genital organs, female, subsequent encounterCMS: Unsp superfic inj unsp external genital organs, female, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.97XSUnspecified superficial injury of unspecified external genital organs, female, sequelaCMS: Unsp superfic inj unsp extrn genital organs, female, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.98 Unspecified superficial injury of anus
S30.98XAUnspecified superficial injury of anus, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.98XDUnspecified superficial injury of anus, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.98XSUnspecified superficial injury of anus, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.9A Unspecified superficial injury of flank
S30.9AXAUnspecified superficial injury of flank, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.9AXDUnspecified superficial injury of flank, subsequent encounterCMS: Unspecified superficial injury of flank, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S30.9AXSUnspecified superficial injury of flank, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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