ICD-10 · PDGM grouping
S38 Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals
All 39 codes in the S38 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
39
Can lead a claim
33
Cannot lead a claim
6
What CMS assigns to S38
33 of the 39 codes group to Wound (21) and MMTA - Other (12); 6 are assigned no clinical group. None of the 39 is assigned a comorbidity subgroup. 33 of the 39 can lead a claim.
Every code in S38
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| S38.0 Crushing injury of external genital organs | ||||
| S38.00 Crushing injury of unspecified external genital organs | ||||
| S38.001 Crushing injury of unspecified external genital organs, male | ||||
| S38.001A | Crushing injury of unspecified external genital organs, male, initial encounterCMS: Crushing injury of unsp external genital organs, male, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S38.001D | Crushing injury of unspecified external genital organs, male, subsequent encounterCMS: Crushing injury of unsp external genital organs, male, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S38.001S | Crushing injury of unspecified external genital organs, male, sequelaCMS: Crushing inj unsp external genital organs, male, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S38.002 Crushing injury of unspecified external genital organs, female | ||||
| S38.002A | Crushing injury of unspecified external genital organs, female, initial encounterCMS: Crushing inj unsp external genital organs, female, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S38.002D | Crushing injury of unspecified external genital organs, female, subsequent encounterCMS: Crushing inj unsp external genital organs, female, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S38.002S | Crushing injury of unspecified external genital organs, female, sequelaCMS: Crushing inj unsp external genital organs, female, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S38.01 Crushing injury of penis | ||||
| S38.01XA | Crushing injury of penis, initial encounter | Can lead a claim | A | None |
| S38.01XD | Crushing injury of penis, subsequent encounter | Can lead a claim | A | None |
| S38.01XS | Crushing injury of penis, sequela | Can lead a claim | A | None |
| S38.02 Crushing injury of scrotum and testis | ||||
| S38.02XA | Crushing injury of scrotum and testis, initial encounter | Can lead a claim | A | None |
| S38.02XD | Crushing injury of scrotum and testis, subsequent encounter | Can lead a claim | A | None |
| S38.02XS | Crushing injury of scrotum and testis, sequela | Can lead a claim | A | None |
| S38.03 Crushing injury of vulva | ||||
| S38.03XA | Crushing injury of vulva, initial encounter | Can lead a claim | A | None |
| S38.03XD | Crushing injury of vulva, subsequent encounter | Can lead a claim | A | None |
| S38.03XS | Crushing injury of vulva, sequela | Can lead a claim | A | None |
| S38.1 Crushing injury of abdomen, lower back, and pelvis | ||||
| S38.1XXA | Crushing injury of abdomen, lower back, and pelvis, initial encounterCMS: Crushing injury of abdomen, lower back, and pelvis, init | Can lead a claim | A | None |
| S38.1XXD | Crushing injury of abdomen, lower back, and pelvis, subsequent encounterCMS: Crushing injury of abdomen, lower back, and pelvis, subs | Can lead a claim | A | None |
| S38.1XXS | Crushing injury of abdomen, lower back, and pelvis, sequela | Can lead a claim | A | None |
| S38.2 Traumatic amputation of external genital organs | ||||
| S38.21 Traumatic amputation of female external genital organs | ||||
| S38.211 Complete traumatic amputation of female external genital organs | ||||
| S38.211A | Complete traumatic amputation of female external genital organs, initial encounterCMS: Complete traum amp of female external genital organs, init | Can lead a claim | C | None |
| S38.211D | Complete traumatic amputation of female external genital organs, subsequent encounterCMS: Complete traum amp of female external genital organs, subs | Can lead a claim | C | None |
| S38.211S | Complete traumatic amputation of female external genital organs, sequelaCMS: Complete traum amp of female extrn genital organs, sequela | Can lead a claim | C | None |
| S38.212 Partial traumatic amputation of female external genital organs | ||||
| S38.212A | Partial traumatic amputation of female external genital organs, initial encounterCMS: Partial traum amp of female external genital organs, init | Can lead a claim | C | None |
| S38.212D | Partial traumatic amputation of female external genital organs, subsequent encounterCMS: Partial traum amp of female external genital organs, subs | Can lead a claim | C | None |
| S38.212S | Partial traumatic amputation of female external genital organs, sequelaCMS: Partial traum amp of female external genital organs, sequela | Can lead a claim | C | None |
| S38.22 Traumatic amputation of penis | ||||
| S38.221 Complete traumatic amputation of penis | ||||
| S38.221A | Complete traumatic amputation of penis, initial encounter | Can lead a claim | C | None |
| S38.221D | Complete traumatic amputation of penis, subsequent encounter | Can lead a claim | C | None |
| S38.221S | Complete traumatic amputation of penis, sequela | Can lead a claim | C | None |
| S38.222 Partial traumatic amputation of penis | ||||
| S38.222A | Partial traumatic amputation of penis, initial encounter | Can lead a claim | C | None |
| S38.222D | Partial traumatic amputation of penis, subsequent encounter | Can lead a claim | C | None |
| S38.222S | Partial traumatic amputation of penis, sequela | Can lead a claim | C | None |
| S38.23 Traumatic amputation of scrotum and testis | ||||
| S38.231 Complete traumatic amputation of scrotum and testis | ||||
| S38.231A | Complete traumatic amputation of scrotum and testis, initial encounterCMS: Complete traumatic amputation of scrotum and testis, init | Can lead a claim | C | None |
| S38.231D | Complete traumatic amputation of scrotum and testis, subsequent encounterCMS: Complete traumatic amputation of scrotum and testis, subs | Can lead a claim | C | None |
| S38.231S | Complete traumatic amputation of scrotum and testis, sequela | Can lead a claim | C | None |
| S38.232 Partial traumatic amputation of scrotum and testis | ||||
| S38.232A | Partial traumatic amputation of scrotum and testis, initial encounterCMS: Partial traumatic amputation of scrotum and testis, init | Can lead a claim | C | None |
| S38.232D | Partial traumatic amputation of scrotum and testis, subsequent encounterCMS: Partial traumatic amputation of scrotum and testis, subs | Can lead a claim | C | None |
| S38.232S | Partial traumatic amputation of scrotum and testis, sequela | Can lead a claim | C | None |
| S38.3 Transection (partial) of abdomen | ||||
| S38.3XXA | Transection (partial) of abdomen, initial encounter | Can lead a claim | C | None |
| S38.3XXD | Transection (partial) of abdomen, subsequent encounter | Can lead a claim | C | None |
| S38.3XXS | Transection (partial) of abdomen, sequela | Can lead a claim | C | None |
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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