ICD-10 · PDGM grouping
S39 Other and unspecified injuries of abdomen, lower back, pelvis and external genitals
All 63 codes in the S39 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
63
Can lead a claim
42
Cannot lead a claim
21
What CMS assigns to S39
42 of the 63 codes group to Musculoskeletal Rehabilitation (18), MMTA - Other (15) and Wound (9); 21 are assigned no clinical group. None of the 63 is assigned a comorbidity subgroup. 42 of the 63 can lead a claim.
Every code in S39
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 |
|---|---|---|---|---|
| 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 encounterCMS: Unsp injury of muscle, fascia and tendon of abdomen, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.001D | Unspecified injury of muscle, fascia and tendon of abdomen, subsequent encounterCMS: Unsp injury of muscle, fascia and tendon of abdomen, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.001S | Unspecified injury of muscle, fascia and tendon of abdomen, sequelaCMS: Unsp injury of muscle, fascia and tendon of abdomen, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| 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 encounterCMS: Unsp injury of muscle, fascia and tendon of lower back, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.002D | Unspecified injury of muscle, fascia and tendon of lower back, subsequent encounterCMS: Unsp injury of muscle, fascia and tendon of lower back, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.002S | Unspecified injury of muscle, fascia and tendon of lower back, sequelaCMS: Unsp injury of musc/fasc/tend lower back, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.003 Unspecified injury of muscle, fascia and tendon of pelvis | ||||
| S39.003A | Unspecified injury of muscle, fascia and tendon of pelvis, initial encounterCMS: Unsp injury of muscle, fascia and tendon of pelvis, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.003D | Unspecified injury of muscle, fascia and tendon of pelvis, subsequent encounterCMS: Unsp injury of muscle, fascia and tendon of pelvis, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.003S | Unspecified injury of muscle, fascia and tendon of pelvis, sequelaCMS: Unsp injury of muscle, fascia and tendon of pelvis, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| 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 encounterCMS: Strain of muscle, fascia and tendon of abdomen, init encntr | Can lead a claim | E | None |
| S39.011D | Strain of muscle, fascia and tendon of abdomen, subsequent encounterCMS: Strain of muscle, fascia and tendon of abdomen, subs encntr | Can lead a claim | E | None |
| S39.011S | Strain of muscle, fascia and tendon of abdomen, sequela | Can lead a claim | E | None |
| S39.012 Strain of muscle, fascia and tendon of lower back | ||||
| S39.012A | Strain of muscle, fascia and tendon of lower back, initial encounterCMS: Strain of muscle, fascia and tendon of lower back, init | Can lead a claim | E | None |
| S39.012D | Strain of muscle, fascia and tendon of lower back, subsequent encounterCMS: Strain of muscle, fascia and tendon of lower back, subs | Can lead a claim | E | None |
| S39.012S | Strain of muscle, fascia and tendon of lower back, sequela | Can lead a claim | E | None |
| S39.013 Strain of muscle, fascia and tendon of pelvis | ||||
| S39.013A | Strain of muscle, fascia and tendon of pelvis, initial encounterCMS: Strain of muscle, fascia and tendon of pelvis, init encntr | Can lead a claim | E | None |
| S39.013D | Strain of muscle, fascia and tendon of pelvis, subsequent encounterCMS: Strain of muscle, fascia and tendon of pelvis, subs encntr | Can lead a claim | E | None |
| S39.013S | Strain of muscle, fascia and tendon of pelvis, sequela | Can lead a claim | E | None |
| 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 encounterCMS: Laceration of muscle, fascia and tendon of abdomen, init | Can lead a claim | C | None |
| S39.021D | Laceration of muscle, fascia and tendon of abdomen, subsequent encounterCMS: Laceration of muscle, fascia and tendon of abdomen, subs | Can lead a claim | C | None |
| S39.021S | Laceration of muscle, fascia and tendon of abdomen, sequela | Can lead a claim | C | None |
| S39.022 Laceration of muscle, fascia and tendon of lower back | ||||
| S39.022A | Laceration of muscle, fascia and tendon of lower back, initial encounterCMS: Laceration of muscle, fascia and tendon of lower back, init | Can lead a claim | C | None |
| S39.022D | Laceration of muscle, fascia and tendon of lower back, subsequent encounterCMS: Laceration of muscle, fascia and tendon of lower back, subs | Can lead a claim | C | None |
| S39.022S | Laceration of muscle, fascia and tendon of lower back, sequelaCMS: Laceration of musc/fasc/tend lower back, sequela | Can lead a claim | C | None |
| S39.023 Laceration of muscle, fascia and tendon of pelvis | ||||
| S39.023A | Laceration of muscle, fascia and tendon of pelvis, initial encounterCMS: Laceration of muscle, fascia and tendon of pelvis, init | Can lead a claim | C | None |
| S39.023D | Laceration of muscle, fascia and tendon of pelvis, subsequent encounterCMS: Laceration of muscle, fascia and tendon of pelvis, subs | Can lead a claim | C | None |
| S39.023S | Laceration of muscle, fascia and tendon of pelvis, sequela | Can lead a claim | C | None |
| 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 encounterCMS: Inj muscle, fascia and tendon of abdomen, init encntr | Can lead a claim | E | None |
| S39.091D | Other injury of muscle, fascia and tendon of abdomen, subsequent encounterCMS: Inj muscle, fascia and tendon of abdomen, subs encntr | Can lead a claim | E | None |
| S39.091S | Other injury of muscle, fascia and tendon of abdomen, sequelaCMS: Oth injury of muscle, fascia and tendon of abdomen, sequela | Can lead a claim | E | None |
| 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 encounterCMS: Inj muscle, fascia and tendon of lower back, init encntr | Can lead a claim | E | None |
| S39.092D | Other injury of muscle, fascia and tendon of lower back, subsequent encounterCMS: Inj muscle, fascia and tendon of lower back, subs encntr | Can lead a claim | E | None |
| S39.092S | Other injury of muscle, fascia and tendon of lower back, sequelaCMS: Inj muscle, fascia and tendon of lower back, sequela | Can lead a claim | E | None |
| S39.093 Other injury of muscle, fascia and tendon of pelvis | ||||
| S39.093A | Other injury of muscle, fascia and tendon of pelvis, initial encounterCMS: Inj muscle, fascia and tendon of pelvis, init encntr | Can lead a claim | E | None |
| S39.093D | Other injury of muscle, fascia and tendon of pelvis, subsequent encounterCMS: Inj muscle, fascia and tendon of pelvis, subs encntr | Can lead a claim | E | None |
| S39.093S | Other injury of muscle, fascia and tendon of pelvis, sequela | Can lead a claim | E | None |
| S39.8 Other specified injuries of abdomen, lower back, pelvis and external genitals | ||||
| S39.81 Other specified injuries of abdomen | ||||
| S39.81XA | Other specified injuries of abdomen, initial encounter | Can lead a claim | A | None |
| S39.81XD | Other specified injuries of abdomen, subsequent encounter | Can lead a claim | A | None |
| S39.81XS | Other specified injuries of abdomen, sequela | Can lead a claim | A | None |
| S39.82 Other specified injuries of lower back | ||||
| S39.82XA | Other specified injuries of lower back, initial encounter | Can lead a claim | A | None |
| S39.82XD | Other specified injuries of lower back, subsequent encounter | Can lead a claim | A | None |
| S39.82XS | Other specified injuries of lower back, sequela | Can lead a claim | A | None |
| S39.83 Other specified injuries of pelvis | ||||
| S39.83XA | Other specified injuries of pelvis, initial encounter | Can lead a claim | A | None |
| S39.83XD | Other specified injuries of pelvis, subsequent encounter | Can lead a claim | A | None |
| S39.83XS | Other specified injuries of pelvis, sequela | Can lead a claim | A | None |
| S39.84 Other specified injuries of external genitals | ||||
| S39.840 Fracture of corpus cavernosum penis | ||||
| S39.840A | Fracture of corpus cavernosum penis, initial encounter | Can lead a claim | A | None |
| S39.840D | Fracture of corpus cavernosum penis, subsequent encounter | Can lead a claim | A | None |
| S39.840S | Fracture of corpus cavernosum penis, sequela | Can lead a claim | A | None |
| S39.848 Other specified injuries of external genitals | ||||
| S39.848A | Other specified injuries of external genitals, initial encounterCMS: Other specified injuries of external genitals, init encntr | Can lead a claim | A | None |
| S39.848D | Other specified injuries of external genitals, subsequent encounterCMS: Other specified injuries of external genitals, subs encntr | Can lead a claim | A | None |
| S39.848S | Other specified injuries of external genitals, sequela | Can lead a claim | A | None |
| S39.9 Unspecified injury of abdomen, lower back, pelvis and external genitals | ||||
| S39.91 Unspecified injury of abdomen | ||||
| S39.91XA | Unspecified injury of abdomen, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.91XD | Unspecified injury of abdomen, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.91XS | Unspecified injury of abdomen, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.92 Unspecified injury of lower back | ||||
| S39.92XA | Unspecified injury of lower back, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.92XD | Unspecified injury of lower back, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.92XS | Unspecified injury of lower back, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.93 Unspecified injury of pelvis | ||||
| S39.93XA | Unspecified injury of pelvis, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.93XD | Unspecified injury of pelvis, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.93XS | Unspecified injury of pelvis, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.94 Unspecified injury of external genitals | ||||
| S39.94XA | Unspecified injury of external genitals, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.94XD | Unspecified injury of external genitals, subsequent encounterCMS: Unspecified injury of external genitals, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S39.94XS | Unspecified injury of external genitals, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | 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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